| Columbia Basin Health Association | |
|
601 Government Way Mattawa WA 99349 | |
| (509) 488-5256 | |
| (509) 488-9939 |
| Full Name | Columbia Basin Health Association |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 601 Government Way, Mattawa, Washington |
| Authorized Official Name and Position | Nieves Gomez (CEO) |
| Authorized Official Contact | 5094885256 |
| 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 601 Government Way Mattawa WA 99349 Ph: (509) 488-5256 |
| NPI Number | 1710232749 |
|---|---|
| Provider Enumeration Date | 07/16/2012 |
| Last Update Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710232749 | NPI | - | NPPES |
| 0035900 | Other | WA | DLI GROUP# |
| 7107675 | Other | WA | UGS MDC DSHS CROSSOVER |
| 8908941 | Other | WA | DLI CRIME VICTIMS# |
| 50-1877 | Other | WA | MEDICARE PTAN# |
| C03323 | Other | WA | RAILROAD MEDICARE# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Washington) | Primary |
Wahluke Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-932-3535 Fax: 509-488-9939 | |
Mattawa Community Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Government Road, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363 |