| Organization Name: | COLUMBIA VALLEY COMMUNITY HEALTH |
| NPI Number: | 1356374698 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK BUCKNUM (CEO) |
| Mailing Address: | 317 E Johnson Ave Box 2920 Chelan |
| State: | WA US |
| Postal Code: | 988162920 |
| Phone Number: | 5096826000 |
| Fax Number: | 5096824296 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 01/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |