COMMUNITY HEALTH ASSOCIATION OF SPOKANE (NPI# 1164633079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633079 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| Other Organization Name | CHAS NORTHEAST CROSSOVER |
| Practice Address |
4001 N Cook St Spokane WA 99207-5879 |
| Mailing Address |
3919 N Maple St Spokane WA 99205-1349 |
| Practice Telephone | 5094448888 |
| Practice Fax Number | 5064447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | PEG J HOPKINS (CEO) |
| Authorized Official Telephone | 5094448888 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7116247 | 05 |
| Other Name | Type Code |
|---|---|
| CHAS Northeast crossover | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137141 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd Lowr, Spokane Valley, WA 99216-1078 | 2019-10-30 |
| 1326461765 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd # Ll, Spokane Valley, WA 99216-1078 | 2014-01-21 |
| 1285077230 | Community Health Association of Spokane | Clinic/Center | 803 S. Main Street, Ste 120, Moscow, ID 83843 | 2013-04-09 |
| 1437401148 | Community Health Association of Spokane | Clinic/Center | 1203 Idaho Street, Lewiston, ID 83501-1940 | 2012-10-04 |
| 1790050862 | Community Health Association of Spokane | Clinic/Center | 2211 E Hartson Ave, Spokane, WA 99202-4152 | 2012-03-21 |
| 1902017817 | Community Health Association of Spokane | Clinic/Center | 1622 E Wellesley Ave, Spokane, WA 99207 | 2007-05-24 |
| 1407067317 | Community Health Association of Spokane | Clinic/Center | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2007-05-24 |
| 1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
| 1336219088 | Community Health Association of Spokane | Clinic/Center | 15812 E. Indiana Ave., Spokane Valley, WA 99216 | 2006-11-09 |
| 1134130784 | Community Health Association of Spokane | Pharmacy | 15812 E Indiana Ave Ste 200, Spokane Valley, WA 99216-1875 | 2006-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COMMUNITY HEALTH ASSOCIATION OF SPOKANE | 611 N Iron Bridge Way, Spokane, WA 99202-4932 |
| Street Address |
4001 N COOK ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427206218 | John T Hurley | Physician Assistant | 4001 N Cook St, Spokane, WA 99207-5879 | 2008-09-04 |
| 1659995223 | Chun Zhou | Student in an Organized Health Care Education/Training Program | 4001 N Cook St, Spokane, WA 99207-5879 | 2020-05-30 |
| 1801419023 | Hammad A Elhussein | Student in an Organized Health Care Education/Training Program | 4001 N Cook St, Spokane, WA 99207-5879 | 2020-05-21 |
| 1508405259 | Kacy Scarpa | Physician Assistant | 4001 N Cook St, Spokane, WA 99207-5879 | 2019-12-29 |
| 1073155545 | Lindsay Saltsgiver | Nurse Practitioner | 4001 N Cook St, Spokane, WA 99207 | 2019-10-16 |
| 1497310411 | Kaylie Sylvester | Family Medicine | 4001 N Cook St, Spokane, WA 99207-5879 | 2019-05-06 |
| 1053879627 | Bryanna Martin | Student in an Organized Health Care Education/Training Program | 4001 N Cook St, Spokane, WA 99207-5879 | 2019-03-03 |
| 1710465976 | Fernando Guzman | Pharmacist | 4001 N Cook St, Spokane, WA 99207-5879 | 2018-07-31 |
| 1619464807 | Laboratory Corporation of America | Clinical Medical Laboratory | 4001 N Cook St, Spokane, WA 99207-5879 | 2018-04-13 |
| 1427555994 | Ayinkeran Gunarajasingam | Dentist | 4001 N Cook St, Spokane, WA 99207-5879 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790050862 | Community Health Association of Spokane | Clinic/Center | 2211 E Hartson Ave, Spokane, WA 99202-4152 | 2012-03-21 |
| 1902017817 | Community Health Association of Spokane | Clinic/Center | 1622 E Wellesley Ave, Spokane, WA 99207 | 2007-05-24 |
| 1407067317 | Community Health Association of Spokane | Clinic/Center | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2007-05-24 |
| 1487773149 | Rodney K Gile | Clinic/Center | N 4815 Assembly St, Spokane, WA 99205 | 2007-03-27 |
| 1770972754 | Community Health Association of Spokane | Clinic/Center | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2015-01-14 |
| 1467868851 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1603 N Belt St, Spokane, WA 99205-4038 | 2014-07-07 |
| 1619275682 | Yakima Valley Farm Workers Clinic | Clinic/Center | 4001 N Cook St, Suite 800 and 900, Spokane, WA 99207-5879 | 2011-03-01 |
| 1932400546 | Yakima Valley Farm Workers Clinic | Clinic/Center | 4001 N Cook St, Spokane, WA 99207-5879 | 2010-11-12 |
| 1295946101 | Community Health Association of Spokane | Clinic/Center | 914 W Carlisle Ave, Spokane, WA 99205-3309 | 2007-05-24 |
| 1871704783 | Community Health Association of Spokane | Clinic/Center | 3919 N Maple St, Spokane, WA 99205-1349 | 2007-05-24 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.