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General NPI Number Information
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NPI Number | 1609114750
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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 | 01/24/2013
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1534 IDAHO ST
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City | LEWISTON
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State | ID
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Zip | 83501-2573
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Country | US
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Telephone | 208-848-8300
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Fax | 208-848-8303
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Provider Business Mailing Address
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Address Line | 611 N IRON BRIDGE WAY
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City | SPOKANE
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State | WA
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Zip | 99202-4932
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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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 |
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Taxonomy #3
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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 |
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