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General NPI Number Information
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NPI Number | 1174417919
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Entity Type | Organization
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Legal Business Name | COLUMBIA VALLEY COMMUNITY HEALTH
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 980 EASTMONT AVE
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-6602
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Country | US
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Telephone | 509-662-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 600 ORONDO AVE STE 1
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City | WENATCHEE
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State | WA
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Zip | 98801-2800
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Country | US
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Telephone | 509-662-6000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MANUEL I NAVARRO
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Credential |
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Telephone | 509-666-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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