COMMUNITY HEALTH CARE NPI 1790762755

NPI Information

NPI: 1790762755
Provider Name: COMMUNITY HEALTH CARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1148 BROADWAY STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 597-4550
Get Directions

COMMUNITY HEALTH CARE is a federally qualified health center (fqhc) clinic center in Tacoma, WA. COMMUNITY HEALTH CARE NPI is 1790762755. The provider is registered as an organization entity type.

The provider's business location address is:

1148 BROADWAY STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 597-4550
Fax: (253) 597-4556

The provider's authorized official is David Flentge .
The authorized official title is Ceo and has the following contact phone number (253) 597-4550.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 6/7/2019.

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	50D0635814	OTHER	WASHINGTON	CLIA
2	1019032	MEDICAID	WASHINGTON
3	8907871	OTHER	WASHINGTON	L & I, CVC

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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