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COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI 1720296783


NPI Information

NPI: 1720296783
Provider Name: COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Other Name: CHAS HEALTH AT SHILOH HILLS ELEMENTARY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
505 E STONEWALL AVE
SPOKANE, WA
ZIP 99208
Phone: (509) 444-8888
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COMMUNITY HEALTH ASSOCIATION OF SPOKANE is a federally qualified health center (fqhc) clinic center in Spokane, WA. COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI is 1720296783. The provider is registered as an organization entity type.
The provider Other Name Is Chas Health At Shiloh Hills Elementary.

The provider's business location address is:

505 E STONEWALL AVE
SPOKANE, WA
ZIP 99208-747
Phone: (509) 444-8888
Fax: (509) 444-7806

The provider's authorized official is Nathan Halvorson .
The authorized official title is Corporate Compliance Officer and has the following contact phone number (509) 444-8888.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 6/15/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17108392MEDICAIDWASHINGTON

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

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