COMMUNITY HEALTH ASSOCIATION OF SPOKANE (NPI# 1336368182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336368182 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| Other Organization Name | CHAS NORTH COUNTY DENTAL CLINIC |
| Practice Address |
401 S Main Street Deer Park WA 99006 |
| Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
| Practice Telephone | 5094448888 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | AARON WILSON (CEO) |
| Authorized Official Telephone | 5094448888 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| 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 | 5049697 | 05 |
| Other Name | Type Code |
|---|---|
| CHAS NORTH COUNTY DENTAL CLINIC | 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 |
| 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 |
| 1598309643 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2019-11-01 |
| 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 |
401 S MAIN STREET |
| City | DEER PARK |
| State | WA |
| Zip Code | 99006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1710221494 | Lori Tetsuro Mcdonald | Hearing Instrument Specialist | 23 E Crawford St, Suite D, Deer Park, WA 99006 | 2012-11-19 |
| 1952675076 | Debra Kay Keller | Pharmacist | 412 S Main, Deer Park, WA 99006 | 2012-03-07 |
| 1457661027 | Martha Joan Haney | Massage Therapist | W 110 Crawford, Suite J, Deer Park, WA 99006 | 2010-10-18 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1912104498 | Melissa Ann Mccollough | Massage Therapist | 20 East J Street Suite B, Deer Park, WA 99006 | 2007-06-28 |
| 1215153739 | Bates and Miller, Pllc, Dds | Clinic/Center | 20 E J Street, Suite 2b, Deer Park, WA 99006 | 2007-04-17 |
| 1184741936 | Ronald J Moore | Chiropractor | 206 W First Street, Suite G, Deer Park, WA 99006 | 2007-03-26 |
| Find all providers in zip 99006 | ||||
| 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 |
|---|---|---|---|---|
| 1568900595 | Legacy Community Health Services, Inc. | Clinic/Center | 3430 Center St, Deer Park, TX 77536-5056 | 2017-02-10 |
| 1528279437 | Community Health Association of Spokane | Clinic/Center | 401 S Main Ave, Deer Park, WA 99006 | 2007-05-24 |
| 1912085135 | Community Health Association of Spokane | Clinic/Center | 401 S Main, Deer Park, WA 99006 | 2006-11-02 |
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| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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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.