| Columbia Valley Community Health Chelan | |
|
105 S Apple Blossom Dr Chelan WA 98816-8810 | |
| (509) 682-6000 | |
| (509) 682-6192 |
| Full Name | Columbia Valley Community Health Chelan |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 S Apple Blossom Dr, Chelan, Washington |
| Authorized Official Name and Position | David Olson (CFO) |
| Authorized Official Contact | 5096643528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Valley Community Health Chelan 600 Orondo Ave Ste 1 Wenatchee WA 98801-2800 Ph: (509) 662-6000 | Columbia Valley Community Health Chelan 105 S Apple Blossom Dr Chelan WA 98816-8810 Ph: (509) 682-6000 |
| NPI Number | 1356374698 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 12/23/2020 |
| Medicare PECOS PAC ID | 7113813874 |
|---|---|
| Medicare Enrollment ID | O20040607001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356374698 | NPI | - | NPPES |
| 2085374 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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