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Contact Information

COMMUNITY HEALTH CARE
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA98499-5036
 Phone: 253-589-7190
 Fax: 253-284-4385
 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 Number 1942376603
LBN Legal business name COMMUNITY HEALTH CARE
Authorized official DAVID FLENTGE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2006
Last updated 06/07/2019 - About 7 years ago
Identifiers
WA License # PHARCF00057391
WA Medicaid 6026421
Other 4930194 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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