National Provider Identifier Database

COMMUNITY HEALTH OF CENTRAL WASHINGTON
Student Health


Contact Information

COMMUNITY HEALTH OF CENTRAL WASHINGTON
212 S 6TH AVE
YAKIMA, WA98902-3303
Phone: 509-494-6700
Fax: 509-573-6275
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH OF CENTRAL WASHINGTON

NPI Number 1003398892
Legal business name
LBN
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Authorized official ANGELA GONZALEZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/29/2018
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.

Reviews for COMMUNITY HEALTH OF CENTRAL WASHINGTON

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