Healthcare Provider Details

I. General information

NPI: 1497465249
Provider Name (Legal Business Name): CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 E HILL AVE
MOSES LAKE WA
98837-2238
US

IV. Provider business mailing address

PO BOX 361
WENATCHEE WA
98807-0361
US

V. Phone/Fax

Practice location:
  • Phone: 509-764-6400
  • Fax:
Mailing address:
  • Phone: 509-663-8711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW JONES
Title or Position: CFO
Credential:
Phone: 509-662-1511