NPI | 1083812689 |
---|---|
Doing Business As | COLUMBIA VALLEY COMMUNITY HEALTH DENTAL |
Entity Type | Organization |
Authorized Contact | MANUEL NAVARRO CEO 509-662-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: WA 601-108-231) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2023-04-19 |