NPIMap

Organization Active NPI

Columbia Valley Community Health

Doing business as 980 Psychiatric Medical

  • Federally Qualified Health Center (FQHC)
  • East Wenatchee, WA
National Provider Identifier
1497649230
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
Doing business as
980 Psychiatric Medical
Practice address
980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone
(509) 884-9000
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
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) 662-6000

Specialties & licenses 2

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

Addresses

Primary practice location

980 Eastmont Ave
East Wenatchee, WA 98802-6602

Mailing address

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

Other names 1

  • 980 Psychiatric Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306002517 WA Part A Provider - Federally Qualified Health Center (FQHC) 7113813874 2 other NPIs on this enrollment
Practice locations: East Wenatchee, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497649230. Details of each certification follow.

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 2

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

National Provider Directory

National Provider Directory
Tax ID family
Columbia Valley Community8 organizations share this tax ID, including this one
Part of
Columbia Valley Community

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

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

Ownership & related parties

All disclosed owners & managing parties 17

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 EmployeeExecutive Director of BH Mar 21, 2023
Kristina Stepper Individual Corporate DirectorBoard Member May 15, 2013
Summer Kelley Individual 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 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 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 EmployeeChief Operations Officer Oct 24, 2011
Jeffery Hinckley Individual W-2 Managing EmployeeExecutive Director of Dental Nov 1, 2018
Felipe Gutierrez Individual W-2 Managing EmployeeChief Medical Officer Nov 16, 2021
Yvonne Mayorga Individual Corporate DirectorBoard Member May 29, 2024
Columbia Valley Community Health Organization, Wenatchee, WA Non-profit Operational/Managerial Control Jun 1, 1975 100%
Loly Larson Individual Corporate DirectorBoard Member Apr 1, 1990
Cheryl Cooper Individual Corporate DirectorBoard Member Sep 24, 2024
Michael Machado Individual Corporate DirectorBoard Member Sep 12, 2017

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
Columbia Valley Community HealthEast Wenatchee, WA, CCN 501030 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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1497649230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 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": "2025-06-05",
        "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": "509-662-6000"
    },
    "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": "980 Psychiatric Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.