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NPI Code Detail

MEDICARE: COMMUNITY HEALTH ASSOCIATION OF SPOKANE

MEDICARE: COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1205385465
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Provider Business Mailing Address
First Line : 731 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4926
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 1720 2ND ST
Second Line :
City : CHENEY
State : WA
Zip : 99004-1910
Country : US
Telephone Number : 509-444-8888
Fax Number :
Authorized Official
Title or Position : CEO
Name : AARON WILSON
Credential :
Telephone Number : 509-444-8888
Provider Enumeration Date : 09/29/2016
Last Update Date : 04/15/2026

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Directions to “COMMUNITY HEALTH ASSOCIATION OF SPOKANE ” Practice Location

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