NPIMap

Columbia Valley Community Health

Organization Active NPI Federally Qualified Health Center (FQHC) · Wenatchee, WA

NPI 1346266152 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1346266152
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COLUMBIA VALLEY COMMUNITY HEALTH
Practice address
504 Orondo Ave Ste a
Wenatchee, WA 98801-2830
Phone
(509) 662-1269
Fax
(509) 664-1037
NPI assigned
Jul 14, 2006
Reactivated
Jul 25, 2012
Organization subpart
Yes
Parent organization (as reported)
COLUMBIA VALLEY COMMUNITY HEALTH

Authorized official

Name
David Olson
Title
Ceo
Phone
(509) 664-3528

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.

Owners & managing parties with NPI records 8

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

Owned or controlled facilities with NPI records 5

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

Other NPIs on the same Medicare enrollment 3

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

Other NPIs with the same Medicare PAC ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 4

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

Practitioners 92

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

View all 92

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in WA

Federally qualified health center certification: CCN 501953

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
CVCH BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 10, 2013
Last certification
Sep 10, 2013
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Feb 22, 1973 in WA
Enrollment address
504 Orondo Ave
Ste a
Wenatchee, WA 98801-2830

Federally qualified health center certification: CCN 941052

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
CHILDREN'S BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 21, 2019
Last certification
Jun 21, 2019
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Feb 22, 1973 in WA
Enrollment address
140 Easy Way
Wenatchee, WA 98801-8108

Federally qualified health center certification: CCN 941054

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
NEW PATH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 8, 2019
Last certification
Aug 8, 2019
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Feb 22, 1973 in WA
Enrollment address
819 N Miller St
Ste 1B
Wenatchee, WA 98801-6604

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
Diana Cobos
Individual 		Corporate Director
Board Member		 Jul 7, 2023
Michael E Romine
Individual 		Corporate Officer
Cfo		 Mar 29, 2016
W-2 Managing Employee
Cfo		 Mar 29, 2016
Corporate Officer
Chief Financial Officer		 Mar 29, 2016
Kristina Stepper
Individual 		Corporate Director May 15, 2013
Kevin Brown
Individual 		Corporate Director
Board Member		 Aug 24, 2022
Manuel Navarro
Individual 		Corporate Officer Jul 1, 2022
W-2 Managing Employee Jun 24, 2018
Operational/Managerial Control
Ceo		 Jul 1, 2022
Corporate Officer
Ceo		 Jul 1, 2022
W-2 Managing Employee
Ceo		 Jul 2, 2019
Corporate Officer
Ceo		 Jan 31, 2022
Dusti Mahoney
Individual 		Corporate Director
Board Member		 Jan 21, 2020
Blake Edwards
Individual 		Corporate Officer
Behavioral Health Director		 Jul 31, 2018
W-2 Managing Employee
Behavioral Services Director		 Jul 31, 2018
W-2 Managing Employee Jul 31, 2018
Richard Clark Hansen
Individual 		Corporate Director
Board Member		 Aug 24, 2022
Robert H Scott
Individual 		Corporate Director Mar 1, 1998
Danielle Noell
Individual 		Corporate Officer
Director of Quality		 Oct 24, 2011
W-2 Managing Employee
Director of Quality		 Oct 24, 2011
W-2 Managing Employee Oct 24, 2011
Jeffery Hinckley
Individual 		Corporate Officer
Dental Director		 Nov 1, 2018
W-2 Managing Employee Nov 1, 2018
W-2 Managing Employee
Dental Director		 Nov 1, 2018
Felipe Gutierrez
Individual 		Corporate Officer
Cmo		 Nov 16, 2021
W-2 Managing Employee
Cmo		 Nov 16, 2021
W-2 Managing Employee
MD;		 Nov 16, 2021
Sasha Sleiman
Individual 		Corporate Director
Board Member		 Aug 1, 2021
Columbia Valley Community Health
Organization · Wenatchee, WA
Non-profit 		Operational/Managerial Control Feb 22, 1973
Operational/Managerial Control Jul 20, 2015
Operational/Managerial Control Jul 1, 2019
Loly Larson
Individual 		Corporate Director Apr 1, 1990
Michael Machado
Individual 		Corporate Director
Board Member		 Sep 12, 2017
Corporate Director Sep 12, 2017
Summer Kelley
Individual 		W-2 Managing Employee
Controller		 Jun 5, 2019
Corporate Officer
Cmo		 Jul 23, 2024
W-2 Managing Employee
Cmo		 Jun 5, 2019
Susan E Caverly
Individual 		W-2 Managing Employee
MD;		 Mar 21, 2023
Yvonne Mayorga
Individual 		Corporate Director
Board Member		 May 29, 2024

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Columbia Valley Community Health
Chelan, WA · CCN 501883		 Federally qualified health center Operational/Managerial Control Jun 1, 1975
East Wenatchee Medical
East Wenatchee, WA · CCN 501936		 Federally qualified health center Operational/Managerial Control (100%) Apr 13, 2012
Wenatchee Valley College Clinic
Wenatchee, WA · CCN 941041		 Federally qualified health center Operational/Managerial Control Jan 2, 2018
Hope Health
Wenatchee, WA · CCN 941046		 Federally qualified health center Operational/Managerial Control Jan 8, 2019
Lincoln Elementary School Clinic
Wenatchee, WA · CCN 941053		 Federally qualified health center Operational/Managerial Control Sep 5, 2017
Columbia Valley Community Health
East Wenatchee, WA · CCN 501030		 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 1975
980 Psychiatric Medical
East Wenatchee, WA · CCN 501066		 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 1975

Medicare enrollment records

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
O20131010002084 WA Part a Provider - Federally Qualified Health Center (FQHC) 7113813874 Practice locations: Wenatchee, WA
O20190801001653 WA Part a Provider - Federally Qualified Health Center (FQHC) 7113813874 Practice locations: Wenatchee, WA
O20190806001674 WA Part a Provider - Federally Qualified Health Center (FQHC) 7113813874 Practice locations: Wenatchee, WA

National Provider Directory

Part of
Columbia Valley Community Health

Locations

1300 5th St
Wenatchee, WA 98801
Phone (509) 662-7106

819 N Miller St
Wenatchee, WA 98801
Phone (509) 662-4592

504 Orondo Ave
#A
Wenatchee, WA 98801
Phone (509) 662-1269

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YA0400X
Federally Qualified Health Center (FQHC) 261QF0400X Yes
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 234 WA
Adult Mental Health Clinic/Center 261QM0850X 234 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 234 WA

Addresses

Primary practice location

504 Orondo Ave Ste a
Wenatchee, WA 98801-2830

Mailing address

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 662-4296

Other practice location 2

140 Easy Way
Wenatchee, WA 98801-8108
Phone (509) 662-4296

Other practice location 3

819 N Miller St Ste 1B
Wenatchee, WA 98801-6604
Phone (509) 888-1924

Other practice location 4

900 Eastmont Ave
E Wenatchee, WA 98802-6602
Phone (509) 884-9000

Other practice location 5

504 Orondo Ave
Wenatchee, WA 98801-2830
Phone (509) 662-1269

Other practice location 6

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-4306

Other practice location 7

933 Red Apple Rd
Wenatchee, WA 98801-3370
Phone (509) 663-8767

Other practice location 8

980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 662-6000

Other identifiers

IdentifierTypeStateIssuer
2000949MedicaidWA

Other names

  • CVCH Behavioral Health Doing business as
  • CVCH Behavioral Medicine Doing business as
  • CVCH Chelan Behavioral Doing business as
  • CVCH Children's Behavioral Health Doing business as
  • Columbia Pediatrics Behavioral Doing business as
  • East Wenatchee Behavioral Doing business as
  • New Path Doing business as
  • Wenatchee Valley College Behavioral Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address chelan.behavioral.7@10575.direct.athenahealth.com

Other providers in Wenatchee, WA

All providers in Wenatchee, WA · Federally Qualified Health Center (FQHC) in Washington

Sources for this page

Verify at the official NPI Registry.