Columbia County Hospital District
Organization Active NPI Primary Care Clinic/Center · College Place, WA
NPI 1851050264 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1851050264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- COLUMBIA COUNTY HOSPITAL DISTRICT
- Practice address
- 295 S College Ave Ste 1
College Place, WA 99324-1151 - Phone
- (509) 382-2531
- NPI assigned
- Dec 13, 2021
- Organization subpart
- No
Authorized official
- Name
- Matt Minor
- Title
- Cfo
- Phone
- (509) 382-2531
Other NPIs on the same Medicare enrollment 5
Practitioners 163
-
C. Mark Alder, MD
-
Akua Baah Anokye, LICSW
-
Michael T Bayona, M.D.
-
Logan Beebe, D.O.
-
John William Bell, M.D.
-
Stephanie J Bennett, ARNP
-
April R Biggs, MD
-
Jayson S Brower, MD
-
Marc Brian Bruce, M.D.
-
Scott Bruschwein, M.D.
-
James Buratto, M.D.
-
Casey Cable, M.D.
-
Kendall Todd Carman-Wagner, LICSW
-
Richard W Casey, MD
-
Terry Chun, MD
-
Patrick Russell Cox, M.D., PH.D.
-
Irene Cruite, M.D.
-
Matthew Peter Curtis, M.D., PH.D.
-
Melissa Rene Czapka, NP-C
-
Gurpreet Singh Dhillon, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2257093 | College Place Health Clinic | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000515 | WA | Part B Supplier - Clinic/Group Practice | 5597653758 |
Receives reassigned benefits from 170 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: College Place, WA; Dayton, WA; Waitsburg, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
295 S College Ave Ste 1
College Place, WA 99324-1151
Mailing address
1012 S 3Rd St
Dayton, WA 99328-1606
Other names
- College Place Health Clinic
Other providers in College Place, WA
- Philip Coffeen
- Kimberly Ann Cole
- College Place Chiropractic
- College Place School District
- Crystal Collier
- Columbia Laser Centers, Inc
- Comprehensive Healthcare
- Osvaldo Contreras-Ochoa
- Orie Cootz
- Rubinia Corson
All providers in College Place, WA · Primary Care Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.