| Columbia Basin Health Association | |
|
1051 S Columbia Avenue Connell WA 99326 | |
| (509) 488-5256 | |
| (509) 488-9939 |
| Full Name | Columbia Basin Health Association |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1051 S Columbia Avenue, Connell, Washington |
| Authorized Official Name and Position | Joshua Bunch (CFO) |
| Authorized Official Contact | 5094885250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Basin Health Association 1515 E Columbia St Othello WA 99344-1846 Ph: (509) 488-5256 | Columbia Basin Health Association 1051 S Columbia Avenue Connell WA 99326 Ph: (509) 488-5256 |
| NPI Number | 1417116385 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417116385 | NPI | - | NPPES |
| 2000090 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Washington) | Primary |