COLUMBIA BASIN HEALTH ASSOCIATION (NPI# 1013454867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013454867 |
| Entity Type | Organization |
| Organization Name | COLUMBIA BASIN HEALTH ASSOCIATION |
| Practice Address |
1515 E Columbia St Othello WA 99344-1040 |
| Mailing Address |
140 E Main St Othello WA 99344-1040 |
| Practice Telephone | 5094885256 |
| Practice Fax Number | 5094889939 |
| Mailing Telephone | 5094885256 |
| Mailing Fax Number | 5094889939 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | GREGORY BRANDENBURG (CEO) |
| Authorized Official Telephone | 5094885256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629311436 | Columbia Basin Health Association | Durable Medical Equipment & Medical Supplies | 1051 Columbia Avenue, Connell, WA 99326-8702 | 2013-03-29 |
| 1528316379 | Columbia Basin Health Association | Clinic/Center | 1051 S. Columbia Avenue, Connell, WA 99326 | 2012-08-28 |
| 1841574241 | Columbia Basin Health Association | Clinic/Center | 1051 S Columbia Ave, Connell, WA 99326-8702 | 2011-10-04 |
| 1417116385 | Columbia Basin Health Association | Clinic/Center | 1051 S Columbia Avenue, Connell, WA 99326 | 2008-06-05 |
| 1427494004 | Columbia Basin Health Association | Clinic/Center | 1515 E Columbia St, Othello, WA 99344-1846 | 2013-05-22 |
| 1710232749 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2012-07-16 |
| 1972721710 | Columbia Basin Health Association | Clinic/Center | 475 N 14th Ave, Othello, WA 99344-1226 | 2007-04-24 |
| 1053539890 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-24 |
| 1184842254 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-23 |
| 1992923064 | Columbia Basin Health Association | Optometrist | 1515 E Columbia St, Othello, WA 99344-1846 | 2007-04-23 |
| Street Address |
1515 E COLUMBIA ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477507093 | Gabriel W Barrio | Pediatrics | 1515 E Columbia St, Othello, WA 99344-1846 | 2006-05-19 |
| 1821608647 | Loren P Knebl | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-08-06 |
| 1124646260 | Flower Star | Dietitian, Registered | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-07-06 |
| 1114548914 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-05-03 |
| 1699302471 | Vickie Tamdoan Bui | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-03-24 |
| 1073162152 | Lisa Braudrick | Speech-Language Pathologist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-10 |
| 1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
| 1265091490 | Kristen A. Mcculloch-stevens | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1598236838 | Myrna Valerie Gomez | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.