| Columbia Basin Health Association | |
|
1515 E Columbia St Othello WA 99344-1040 | |
| (509) 488-5256 | |
| (509) 488-9939 |
| Full Name | Columbia Basin Health Association |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1515 E Columbia St, Othello, 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 1515 E Columbia St Othello WA 99344-1040 Ph: (509) 488-5256 |
| NPI Number | 1013454867 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013454867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Columbia Basin Health Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 | |
Columbia Basin Health Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 | |
Columbia Basin Health Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 N 14th Ave, Othello, WA 99344 Phone: 509-488-6644 Fax: 509-488-9939 |