MEDICARE: CHENEY CARE COMMUNITY

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
1	314000000X	Skilled Nursing Facility	732	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811975568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHENEY CARE COMMUNITY

Provider Business Mailing Address
First Line	:	2219 N 6TH ST
Second Line	:
City	:	CHENEY
State	:	WA
Zip	:	99004-2171
Country	:	US
Telephone Number	:	509-235-6196
Fax Number	:	509-235-2044

Provider Business Practice Location Address
First Line	:	2219 N 6TH ST
Second Line	:
City	:	CHENEY
State	:	WA
Zip	:	99004-2199
Country	:	US
Telephone Number	:	509-235-6196
Fax Number	:	509-235-2044

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	COLLEEN HARBICK
Credential	:
Telephone Number	:	509-235-6196

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	05/10/2022

Similar Medicare Providers

1952393639 — TOM J KOESKE MD
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1811989163 — CHARLES B HOUGH MD
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1841283157 — MELISSA A NORTON PA-C
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1720071889 — JONATHAN M STABEN MD
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1851336606 — MR. DONALD CORNELL SIMS JR. MS, ATC
Practice Location Address:

207 PHYSICAL EDUCATION BUILDING
CHENEY, WA
99004-2476

Practice Phone: 509-359-4763
Practice Fax:

1508895533 — SAFEWAY INC
Practice Location Address:

2710 1ST ST
CHENEY, WA
99004-2032

Practice Phone: 509-235-6030
Practice Fax: 509-235-6386

Directions to “CHENEY CARE COMMUNITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.