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Contact Information

COMMUNITY HEALTH CARE
11225 PACIFIC AVE S
TACOMA, WA98444-5525
 Phone: 253-536-6257
 Fax: 253-536-6261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CARE

NPI # 1538258223
LBN Legal business name COMMUNITY HEALTH CARE
Authorized official DAVID FLENTGE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 06/07/2019 - About 7 years ago
Identifiers
WA License # CF00057134
WA Medicaid 6025456
Other 4929634 NCPDP PROVIDER IDENTIFICATION NUMBER
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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