Healthcare Provider Details

I. General information

NPI: 1699888024
Provider Name (Legal Business Name): CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 N CHELAN AVE
WENATCHEE WA
98801-2026
US

IV. Provider business mailing address

1201 S MILLER ST
WENATCHEE WA
98801-3201
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-1511
  • Fax:
Mailing address:
  • Phone: 509-888-5906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIS-250
License Number StateWA

VIII. Authorized Official

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