Healthcare Provider Details

I. General information

NPI: 1881642239
Provider Name (Legal Business Name): CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S MILLER ST
WENATCHEE WA
98801-3201
US

IV. Provider business mailing address

1201 MILLER STREET
WENATCHEE WA
98801-3201
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-1511
  • Fax: 509-665-6081
Mailing address:
  • Phone: 509-662-1511
  • Fax: 509-665-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ANDREW JONES
Title or Position: CEO
Credential:
Phone: 509-663-8711