Organization · Type 2 NPI

Columbia Basin Health Association

Federally Qualified Health Center (FQHC) · Othello, WA

NPI number 1972721710 Active

Practice location

475 N 14th Ave
Othello, WA 99344-1226

Call (509) 488-6644 Map

Fax (509) 488-9939

Mailing address

1515 E Columbia St
Othello, WA 99344-1846

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Columbia Basin Health AssociationFederally Qualified Health Center (FQHC) Othello, WA NPI 1427494004
Randel S. Bunch, MDFamily Medicine Physician Othello, WA NPI 1033296637

Other federally qualified health center (fqhc) providers in Othello

See all in Othello →

NPI record

NPI: 1972721710
Entity type: Organization (Type 2)
Issued: Apr 24, 2007
Last updated: May 6, 2022
Status: Active

Other names

<unavail>
Columbia Basin Health Association · doing business as
Columbia Basin Health Association · doing business as

Authorized official

Nieves Gomez
CEO
(509) 488-5256

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1972721710

Columbia Basin Health Association's National Provider Identifier is 1972721710, issued on Apr 24, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Othello, WA. The record was last updated on May 6, 2022.