COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI 1407067317

NPI Information

NPI: 1407067317
Provider Name: COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Other Name: SOUTHGATE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5620 S REGAL ST STE 11
SPOKANE, WA
ZIP 99223
Phone: (509) 444-8888
Get Directions

COMMUNITY HEALTH ASSOCIATION OF SPOKANE is a federally qualified health center (fqhc) clinic center in Spokane, WA. COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI is 1407067317. The provider is registered as an organization entity type.
The provider Other Name Is Southgate.

The provider's business location address is:

5620 S REGAL ST STE 11
SPOKANE, WA
ZIP 99223-957
Phone: (509) 444-8888
Fax: (509) 444-7806

The provider's authorized official is Aaron Wilson .
The authorized official title is Ceo and has the following contact phone number (509) 444-8888.

The CLIA number assigned to this NPI record is 50D2160591 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7116213	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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