NPIMap

Organization Active NPI

Columbia Valley Community Health

  • Federally Qualified Health Center (FQHC)
  • East Wenatchee, WA
National Provider Identifier
1295589455
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBIA VALLEY COMMUNITY HEALTH
Practice address
940 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone
(509) 884-9000
NPI assigned
Apr 15, 2024
Organization subpart
Yes
Parent organization
COLUMBIA VALLEY COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Manuel I Navarro
Title
Ceo
Phone
(509) 699-1372

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

940 Eastmont Ave
East Wenatchee, WA 98802-6602

Mailing address

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 664-0949

Other names 1

  • 940 East Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040227000599 WA Part B Supplier - Clinic/Group Practice 7113813874 Receives reassigned benefits from 99 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wenatchee, WA; East Wenatchee, WA; Chelan, WA
O20230919004097 WA Part A Provider - Federally Qualified Health Center (FQHC) 7113813874 1 other NPI on this enrollment
Practice locations: East Wenatchee, WA
O20250306002517 WA Part A Provider - Federally Qualified Health Center (FQHC) 7113813874 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Wenatchee, WA

Federally qualified health center certification: CCN 501030

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 25, 2023
Last certification
Aug 25, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
940 Eastmont Ave
East Wenatchee, WA 98802-6602

Federally qualified health center certification: CCN 501066

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
980 PSYCHIATRIC MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2025
Last certification
May 1, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
980 Eastmont Ave
East Wenatchee, WA 98802-6602

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Columbia Valley Community Health

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan E Caverly Individual W-2 Managing Employee Mar 21, 2023
W-2 Managing EmployeeExecutive Director of BH Mar 21, 2023
Diana Cobos Individual Corporate DirectorBoard Member Jul 7, 2023
Michael E Romine Individual Corporate OfficerCfo Mar 29, 2016
W-2 Managing EmployeeCfo Mar 29, 2016
Kristina Stepper Individual Corporate DirectorBoard Member May 15, 2013
Summer Kelley Individual W-2 Managing Employee Jun 5, 2019
Corporate OfficerChief Financial Officer Jul 23, 2024
W-2 Managing EmployeeChief Financial Officer Jun 5, 2019
Kevin Brown Individual Corporate DirectorBoard Member Aug 24, 2022
Manuel Navarro Individual Corporate OfficerCeo Jul 1, 2022
W-2 Managing EmployeeCeo Jul 1, 2022
Corporate OfficerChief Executive Officer Jul 1, 2019
W-2 Managing EmployeeChief Executive Officer Jul 2, 2019
Dusti Mahoney Individual Corporate DirectorBoard Member Jan 21, 2020
Blake Edwards Individual W-2 Managing Employee Apr 1, 2023
W-2 Managing EmployeeChief Quality & Compliance Officer Jul 31, 2018
Richard Clark Hansen Individual Corporate DirectorBoard Member Aug 24, 2022
Robert H Scott Individual Corporate DirectorBoard Member Mar 1, 1998
Danielle Noell Individual W-2 Managing Employee Oct 24, 2011
W-2 Managing EmployeeChief Operations Officer Oct 24, 2011
Jeffery Hinckley Individual W-2 Managing Employee Nov 1, 2018
W-2 Managing EmployeeExecutive Director of Dental Nov 1, 2018
Felipe Gutierrez Individual W-2 Managing EmployeeCmo Nov 16, 2021
W-2 Managing EmployeeChief Medical Officer Nov 16, 2021
Columbia Valley Community Health Organization, Wenatchee, WA Operational/Managerial Control Jun 1, 1975 100%
Loly Larson Individual Corporate DirectorBoard Member Apr 1, 1990
Michael Machado Individual Corporate DirectorBoard Member Sep 12, 2017
Yvonne Mayorga Individual Corporate DirectorBoard Member May 29, 2024
Cheryl Cooper Individual Corporate DirectorBoard Member Sep 24, 2024

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbia Valley Community HealthChelan, WA, CCN 501883 Federally qualified health center Operational/Managerial Control Jun 1, 1975
East Wenatchee MedicalEast Wenatchee, WA, CCN 501936 Federally qualified health center Operational/Managerial Control (100%) Apr 13, 2012
CVCH Behavioral HealthWenatchee, WA, CCN 501953 Federally qualified health center Operational/Managerial Control Feb 22, 1973
Wenatchee Valley College ClinicWenatchee, WA, CCN 941041 Federally qualified health center Operational/Managerial Control Jan 2, 2018
Hope HealthWenatchee, WA, CCN 941046 Federally qualified health center Operational/Managerial Control Jan 8, 2019
Lincoln Elementary School ClinicWenatchee, WA, CCN 941053 Federally qualified health center Operational/Managerial Control Sep 5, 2017
Children'S Behavioral HealthWenatchee, WA, CCN 941052 Federally qualified health center Operational/Managerial Control Jul 20, 2015
New PathWenatchee, WA, CCN 941054 Federally qualified health center Operational/Managerial Control Jul 1, 2019
980 Psychiatric MedicalEast Wenatchee, WA, CCN 501066 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 1975

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 65

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1295589455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-664-0949",
            "fax_number": "509-664-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 EASTMONT AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988026602",
            "telephone_number": "509-884-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA VALLEY COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA VALLEY COMMUNITY HEALTH",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-699-1372"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "940 East Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.