COMMUNITY HEALTH ASSOCIATION OF SPOKANE (NPI# 1841419603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841419603 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| Other Organization Name | CHAS MAPLE DENTAL CLINIC |
| Practice Address |
3919 N Maple St Spokane WA 99205-1349 |
| Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0254 |
| Practice Telephone | 5094448888 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-03-27 |
| 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 | 5036256 | 05 |
| Other Name | Type Code |
|---|---|
| CHAS MAPLE 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 |
| 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 |
3919 N MAPLE ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929932 | Monica Blykowski-may | Family Medicine | 3919 N Maple St, Spokane, WA 99205 | 2005-08-11 |
| 1386256048 | Allison Marie Pettersen | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-08-23 |
| 1942835640 | Patrick Jerome Bennett | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-03-03 |
| 1407488778 | Alexis Houser | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-02-05 |
| 1932747565 | Tabitha Jo Al Spedding | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-12-13 |
| 1336784628 | Katie Halleran Sullivan | Nurse Practitioner | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-11-11 |
| 1174166565 | Community Health Association of Spokane | Pharmacy | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-10-18 |
| 1629619754 | Irina Ivan Ialanji | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-09-30 |
| 1043864390 | Tori Morgan Anderson | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-25 |
| 1366095754 | Marcy Rene Pacheco | Family Medicine | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| 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.