COMMUNITY HEALTH ASSOCIATION OF SPOKANE (NPI# 1609114750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609114750 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| Other Organization Name | LEWIS AND CLARK HEALTH CENTER PYSCH |
| Practice Address |
1203 Idaho St Lewiston ID 83501-1940 |
| Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0254 |
| Practice Telephone | 2088488300 |
| Practice Fax Number | 2088488303 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | AARON WILSON (CEO) |
| Authorized Official Telephone | 5094448888 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HELATH 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 |
| Other Name | Type Code |
|---|---|
| Lewis and Clark Health Center pysch | Doing Business As Name - 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 |
1203 IDAHO ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386676039 | Melissa Lee Park | Internal Medicine | 1203 Idaho St, Lewiston, ID 83501-1940 | 2006-07-06 |
| 1275145401 | Rachel Marie Rudder | Nurse Practitioner | 1203 Idaho St, Lewiston, ID 83501-1940 | 2020-08-19 |
| 1669015244 | Community Health Association of Spokane | Pharmacy | 1203 Idaho St, Lewiston, ID 83501-1940 | 2019-10-25 |
| 1508412164 | Lembi Che | Nurse Practitioner | 1203 Idaho St, Lewiston, ID 83501-1940 | 2019-08-09 |
| 1386112472 | Selam Kiflemichael | Pharmacist | 1203 Idaho St, Lewiston, ID 83501-1940 | 2018-11-06 |
| 1073040515 | Candice Klemens | Physician Assistant | 1203 Idaho St, Lewiston, ID 83501-1940 | 2017-05-15 |
| 1073062295 | Spencer Godfrey | Nurse Practitioner | 1203 Idaho St, Lewiston, ID 83501-1940 | 2016-09-28 |
| 1932561115 | Brandon W. Clark | Social Worker | 1203 Idaho St, Lewiston, ID 83501-1940 | 2016-03-25 |
| 1598190217 | Rachel Eron Clements | Nurse Practitioner | 1203 Idaho St, Lewiston, ID 83501-1940 | 2013-09-12 |
| 1710233176 | Wendy Klemm | Pharmacist | 1203 Idaho St, Lewiston, ID 83501-1940 | 2012-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2015-07-20 |
| 1437401148 | Community Health Association of Spokane | Clinic/Center | 1203 Idaho Street, Lewiston, ID 83501-1940 | 2012-10-04 |
| 1841541877 | Bertie County Rural Health Association | Clinic/Center | 307 S. Main Street, Lewiston, NC 27849-9694 | 2012-10-01 |
| 1720371313 | Community Clinical Services, Inc. | Clinic/Center | 96 Campus Ave, Suite 218, Lewiston, ME 04240-6019 | 2011-05-16 |
| 1710279344 | Community Clinical Services, Inc. | Clinic/Center | 100 Campus Ave Ste 208, Lewiston, ME 04240-6069 | 2011-05-16 |
| 1336590207 | Community Clinical Services, Inc. | Clinic/Center | 198 Main St, Room A, Lewiston, ME 04240-7074 | 2016-06-22 |
| 1942655345 | Community Clinical Services, Inc. | Clinic/Center | 15 Mollison Way, Room A, Lewiston, ME 04240-5805 | 2016-05-04 |
| 1760836977 | Community Clinical Services, Inc. | Clinic/Center | 99 Campus Ave, Suite 201, Room A, Lewiston, ME 04240-6045 | 2016-04-14 |
| 1740649227 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-02-12 |
| 1023475134 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-01-20 |
| Find all providers in LEWISTON | ||||
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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.