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Contact Information

COMMUNITY HEALTH ASSOCIATION OF SPOKANE
803 S MAIN ST STE 120
MOSCOW, ID83843
 Phone: 208-848-8300
 Fax: 208-882-5587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH ASSOCIATION OF SPOKANE

NPI # 1497205652
LBN Legal business name COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Authorized official NATHAN HALVORSON - (CHIEF COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2016
Last updated 01/05/2026 - About 5 months ago
Identifiers
ID Other 1369012 MEDICARE PART B PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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