COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI 1912085135

NPI Information

NPI: 1912085135
Provider Name: COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Other Name: CHAS NORTH COUNTY MEDICAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
401 S MAIN
DEER PARK, WA
ZIP 99006
Phone: (509) 444-8200
Get Directions

COMMUNITY HEALTH ASSOCIATION OF SPOKANE is a federally qualified health center (fqhc) clinic center in Deer Park, WA. COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI is 1912085135. The provider is registered as an organization entity type.
The provider Other Name Is Chas North County Medical.

The provider's business location address is:

401 S MAIN
DEER PARK, WA
ZIP 99006
Phone: (509) 444-8200
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 enumeration date for this NPI number is 11/2/2006 and was last updated on 8/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7130958	MEDICAID	WASHINGTON
2	DA6658	OTHER		MEDICARE PALMETTO RAIL RD

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »