institution
Columbia Basin Health Association
Federally Qualified Health Center (FQHC) in Othello, Washington
NPI 1972721710

Columbia Basin Health Association is a Federally Qualified Health Center (FQHC) based in Othello, WA and is specialized in Federally Qualified Health Center (FQHC). Columbia Basin Health Association practices in Othello, WA. The NPI Number for Columbia Basin Health Association is 1972721710 and holds a License No. (Washington).

The current practice location address for Columbia Basin Health Association is 475 N 14Th Ave, Othello, WA and can be reached out via phone at 509-488-6644 and via fax at 509-488-9939.

Location: 475 N 14Th Ave, Othello, WA, 99344-1846
institution
Provider Profile Details
NPI Number
1972721710
Provider Name
Columbia Basin Health Association
Credential
Provider Entity Type
Organization
Address
475 N 14Th Ave, Othello, WA, 99344-1846
Phone Number
509-488-6644
Fax Number
509-488-9939
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50D0640014 01 WA CLIA #
7121585 05 WA
08908941 01 WA CRIME VICTIMS #
7406119 05 WA
7900624 01 WA TAKE CHARGE #
0035900 01 WA DEPT L&I #
7107675 01 WA UGS MDC DSHS CROSSOVER
institution
Provider Business Practice Location Address Details
Address
475 N 14Th Ave
City
State
Zip
99344-1226
Phone Number
509-488-6644
Fax Number
509-488-9939
person
Provider Business Mailing Address Details
Address
475 N 14Th Ave
City
State
Zip
99344-1226
Phone Number
509-488-6644
Fax Number
509-488-9939
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
(Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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