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  5. COLUMBIA BASIN HEALTH ASSOCIATION

COLUMBIA BASIN HEALTH ASSOCIATION

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Company Details

Legal Name: COLUMBIA BASIN HEALTH ASSOCIATION
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 26th 1973
Expiration date: 31 Mar 2026
UBI Number: 600 141 835
FEIN Number: 91-0896701
ZIP code: 99344
City: Othello
County: ADAMS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1515 E COLUMBIA ST, OTHELLO, WA, 99344-1846, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,245,405

Contact Details

E-Mail: JOSHUAB@CBHA.ORG
Phone Number: +1 509-488-5256

Nature of Business

Social, FEDERALLY QUALIFIED HEALTH CENTER

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Registered Agent Information

Name Role
COLUMBIA BASIN HEALTH ASSOCIATION Registered Agent

Key Officers & Management

Name Role Address
JANELLE ANDERSEN Governing Person -
DORA BERAZA Governing Person -
JOE MONTEMAYOR Governing Person -
SCOTT HARRIS Governing Person -
GONZALO ZAVALA Initial Board Of Director 107 S 10TH AVE, OTHELLO, WA, 99344-1462, UNITED STATES
DONALD H HERBERT Initial Board Of Director 71 S 6TH AVE, OTHELLO, WA, 99344, UNITED STATES
GABRIEL CARDENAS Initial Board Of Director 742 E HEMLOCK ST, OTHELLO, WA, 99344-1426, UNITED STATES
JAMES M DAVIS Initial Board Of Director 206 N MACBETH AVE, OTHELLO, WA, 99344-1125, UNITED STATES
STEPHEN JARONSKI Initial Board Of Director PO BOX 29, OTHELLO, WA, 99344-0029, UNITED STATES
EMMA COFFIN Initial Board Of Director RT 1 BOX 299, OTHELLO, WA, 99344, UNITED STATES

Unique Entity ID

Unique Entity ID:
EXAXS7SKMNC9
CAGE Code:
4ELF6
UEI Expiration Date:
2026-06-19

Business Information

URL:
http://www.cbha.org
Division Name:
CBHA
Division Number:
CBHA
Activation Date:
2025-06-20
Initial Registration Date:
2006-05-18

Commercial and government entity program

CAGE number:
4ELF6
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-20
SAM Expiration:
2026-06-19
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
JOSHUA BUNCH
Corporate URL:
http://www.cbha.org

National Provider Identifier

NPI Number:
1225716947
Certification Date:
2023-07-13
Link:
View on NPI website

Authorized Person:

Name:
JOSHUA BUNCH
Role:
CFO
Phone:
5094885250

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Phone:
+1 509-488-5256
Fax:
5094889939

Legal Entity Identifier

LEI Number:
5493008TYZYCL8Z6N452

Registration Details:

Initial Registration Date:
2016-01-21
Next Renewal Date:
2017-01-18
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

USAspending Awards / Contracts

Procurement Instrument Identifier:
EP100000064
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$2,630
Base And Exercised Options Value:
$2,630
Base And All Options Value:
$2,630
Awarding Agency Name:
Environmental Protection Agency
Performance Start Date:
2010-02-26
Description:
DVD'S DIALECTIC TRANSLATION
Naics Code:
621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES

Tax Exempt

Employer Identification Number (EIN):
91-0896701
In Care Of Name:
% LIZET RAMOS
Ruling Date:
1975-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202111
Link:
Download 990
Return Type:
990
Tax Period:
202011
Link:
Download 990
Return Type:
990
Tax Period:
201911
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
373
Initial Approval Amount:
$3,987,085
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,987,085
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$4,031,607.45
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $3,987,085

Facilities

FRS ID:
110015557084
Facility Address:
110 E MAIN, OTHELLO, ADAMS, WA, 99344
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility NAICS Codes

System:
RCRAINFO
Identifier:
WAH000024871
NAICS Code:
621111

Labor Condition Applications

Case Number:
I-200-18172-794178
Program:
H-1B
Job Title:
DENTIST
SOC (ONET/OES) code:
29-1021
SOC (ONET/OES) occupation title:
DENTISTS, GENERAL
Begin Date:
2018-09-14
End Date:
2021-09-13

Employment and Wage Information

Address:
OTHELLO, ADAMS, WA, 99344
Wage Rate Paid to Nonimmigrant Workers:
$140,000
Per:
Year
Prevailing Wage Rate:
$115,690
Case Number:
I-200-15124-867990
Program:
H-1B
Job Title:
DENTIST
SOC (ONET/OES) code:
29-1021
SOC (ONET/OES) occupation title:
DENTISTS, GENERAL
Begin Date:
2015-07-01
End Date:
2018-06-30

Employment and Wage Information

Address:
OTHELLO, ADAMS, WA, 99344
Wage Rate Paid to Nonimmigrant Workers:
$120,000
Per:
Year
Prevailing Wage Rate:
$88,608
Case Number:
I-200-14064-616568
Program:
H-1B
Job Title:
FAMILY MEDICINE PHYSICIAN
SOC (ONET/OES) code:
29-1062
SOC (ONET/OES) occupation title:
Family and General Practitioners
Begin Date:
2014-07-01
End Date:
2017-06-30

Employment and Wage Information

Address:
OTHELLO, WA
Wage Rate Paid to Nonimmigrant Workers:
$170,000
Per:
Year
Prevailing Wage Rate:
$105,622
Case Number:
I-200-11227-037380
Program:
H-1B
Job Title:
PEDIATRICIAN
SOC (ONET/OES) code:
29-1065
SOC (ONET/OES) occupation title:
Pediatricians, General
Begin Date:
2011-10-31
End Date:
2014-10-30

Employment and Wage Information

Address:
MATTAWA, WA
Wage Rate Paid to Nonimmigrant Workers:
$140,000
Per:
Year
Prevailing Wage Rate:
$120,286
Case Number:
I-200-11150-395320
Program:
H-1B
Job Title:
OBSTETRICIAN/GYNECOLOGIST
SOC (ONET/OES) code:
29-1064.00
SOC (ONET/OES) occupation title:
Obstetricians and Gynecologists
Begin Date:
2011-09-25
End Date:
2014-09-25

Employment and Wage Information

Address:
OTHELLO, WA
Wage Rate Paid to Nonimmigrant Workers:
$167,000
Per:
Year
Prevailing Wage Rate:
$80

Related by address

1515 E COLUMBIA ST, OTHELLO, WA, 99344-1846, UNITED STATES

COLUMBIA BASIN CIRCLE OF CARE
WA NONPROFIT CORPORATION - Active
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