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NPI Code Detail

MEDICARE: COMMUNITY HEALTH ASSOCIATION OF SPOKANE

MEDICARE: COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1790050862
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 2211 E HARTSON AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4152
Country : US
Telephone Number : 509-444-8888
Fax Number :
Authorized Official
Title or Position : CEO
Name : AARON WILSON
Credential :
Telephone Number : 509-444-8888
Provider Enumeration Date : 03/21/2012
Last Update Date : 04/04/2025

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Directions to “COMMUNITY HEALTH ASSOCIATION OF SPOKANE ” Practice Location

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