Provider Demographics
NPI:1982081535
Name:ONE COMMUNITY HEALTH
Entity Type:Organization
Organization Name:ONE COMMUNITY HEALTH
Other - Org Name:ONE COMMUNITY HEALTH- SCHOOL BASED HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BATCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-308-8363
Mailing Address - Street 1:849 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1956
Mailing Address - Country:US
Mailing Address - Phone:541-386-6380
Mailing Address - Fax:541-308-8396
Practice Address - Street 1:1220 INDIAN CREEK DRIVE
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-8632
Practice Address - Country:US
Practice Address - Phone:541-308-8345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE COMMUNITY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-04
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1033269204Medicaid