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COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI 1598764920


NPI Information

NPI: 1598764920
Provider Name: COMMUNITY HEALTH OF CENTRAL WASHINGTON
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
501 S 5TH AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 494-6700
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COMMUNITY HEALTH OF CENTRAL WASHINGTON is a federally qualified health center (fqhc) clinic center in Yakima, WA. COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI is 1598764920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 S 5TH AVE
YAKIMA, WA
ZIP 98902-550
Phone: (509) 494-6700
Fax: (509) 573-6275

The provider's authorized official is Angela Gonzalez .
The authorized official title is Ceo and has the following contact phone number (509) 494-6700.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 7/29/2020.


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
1207Q00000XFamily Medicine602254033WASHINGTONNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4261QF0400XClinic/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
10031820OTHERWASHINGTONLABOR & INDUSTRIES
225344OTHERWASHINGTONGROUP HEALTH
37118276MEDICAIDWASHINGTON
4DA3135OTHERWASHINGTONRAILROAD MEDICARE NUMBER
5CE0030OTHERWASHINGTONREGENCE
68932819OTHERWASHINGTONCRIME VICTIM NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.