National Provider Identifier Database

COMMUNITY HEALTH OF CENTRAL WASHINGTON
Dental


Contact Information

COMMUNITY HEALTH OF CENTRAL WASHINGTON
521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA98926-3865
Phone: 509-933-4800
Fax: 509-933-4802
Website:
Specialty Taxonomy Code
* Dental 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X
General Practice 1223G0001X
Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH OF CENTRAL WASHINGTON

NPI Number 1376878769
Legal business name
LBN
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Authorized official ANGELA GONZALEZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/02/2009
Last updated 10/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 7118276

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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