COLUMBIA CAPITAL MEDICAL CENTER, LP (NPI# 1053369074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053369074 |
| Entity Type | Organization |
| Organization Name | COLUMBIA CAPITAL MEDICAL CENTER, LP |
| Other Organization Name | THE CLINIC AT ELMA |
| Practice Address |
515 W. Main St. Elma WA 98541-9551 |
| Practice Telephone | 3609566354 |
| Practice Fax Number | 3604825157 |
| Mailing Telephone | 3609563541 |
| Mailing Fax Number | 3604825157 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | SHELDON RAY COFFEY (VP REIMBURSEMENT) |
| Authorized Official Telephone | 6157643009 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBIA CAPITAL MEDICAL CENTER, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H-197 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Clinic at Elma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134177165 | Columbia Capital Medical Center, Lp | Skilled Nursing Facility | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2006-05-04 |
| 1841258639 | Columbia Capital Medical Center, Lp | General Acute Care Hospital | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2006-05-02 |
| Street Address |
515 W. MAIN ST. |
| City | ELMA |
| State | WA |
| Zip Code | 98541-9551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021444 | Rabab Cheema | Student in an Organized Health Care Education/Training Program | Summit Pacific Family Medicine, 600 E. Main Street, Elma, WA 98541 | 2020-04-14 |
| 1164087896 | Jamie Christina Talley | Massage Therapist | 201 S. 3rd Street, Elma, WA 98541 | 2019-05-08 |
| 1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
| 1205349412 | Charli Loretta Jankord | Massage Therapist | 201 South 3rd Street, Elma, WA 98541 | 2017-11-09 |
| 1588194013 | Janel Lynn Lewis | Counselor | 575 E. Main Suite C, Elma, WA 98541 | 2017-06-18 |
| 1962931139 | Cole Robert Johnson | Counselor | 575 E Main Street, Elma, WA 98541 | 2017-06-09 |
| 1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
| 1467776112 | Amy L Lystad | Counselor | 114 S. 5th St., Elma, WA 98541 | 2010-03-24 |
| 1649593336 | Maja C Ballew | Massage Therapist | 434 West Main Street, Elma, WA 98541 | 2010-03-09 |
| 1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
| Find all providers in zip 98541 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.