Provider Demographics
NPI:1144080524
Name:GREATER COLUMBIA ACCOUNTABLE COMMUNITY OF HEALTH
Entity type:Organization
Organization Name:GREATER COLUMBIA ACCOUNTABLE COMMUNITY OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-567-5583
Mailing Address - Street 1:8836 W GAGE BLVD STE 202A
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7165
Mailing Address - Country:US
Mailing Address - Phone:509-567-5317
Mailing Address - Fax:
Practice Address - Street 1:8836 W GAGE BLVD STE 202A
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7165
Practice Address - Country:US
Practice Address - Phone:509-567-5317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management