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NPI 1386549392

NPI 1386549392 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE : CLARKSTON, WA

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General NPI Number Information
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    NPI Number           |    1386549392
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMUNITY HEALTH ASSOCIATION OF SPOKANE 
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Dates
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    Enumeration Date     |    10/09/2026
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    Last Update Date     |    10/09/2026
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Provider Practice Location Address
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    Address Line         |    844 6TH ST 
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    City                 |    CLARKSTON
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    State                |    WA
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    Zip                  |    99403-2013
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    Country              |    US
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    Telephone            |    208-848-8300
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    Fax                  |    208-848-8306
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Provider Business Mailing Address
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    Address Line         |    731 N IRON BRIDGE WAY 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99202-4926
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    Country              |    US
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    Telephone            |    509-444-8888
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    Fax                  |    509-444-7810
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     AARON  WILSON 
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    Credential           |    
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    Telephone            |    509-444-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    NULL
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