COMMUNITY HEALTH OF CENTRAL WASHINGTON (NPI# 1003398892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003398892 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH OF CENTRAL WASHINGTON |
| Other Organization Name | DAVIS HEALTH CLINIC |
| Practice Address |
212 S 6th Ave Yakima WA 98902-3303 |
| Mailing Address |
501 S 5th Ave Yakima WA 98902-3550 |
| Practice Telephone | 5094946700 |
| Practice Fax Number | 5095736275 |
| Mailing Telephone | 5094946700 |
| Mailing Fax Number | 5095736275 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | ANGELA GONZALEZ (CEO) |
| Authorized Official Telephone | 5094946700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7118276 | 05 |
| Other Name | Type Code |
|---|---|
| Davis Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700255874 | Community Health of Central Washington | Clinic/Center | 915 Wisconsin Avenue, Tieton, WA 98947 | 2015-09-18 |
| 1598764920 | Community Health of Central Washington | Family Medicine | 501 S 5th Ave, Yakima, WA 98902-3550 | 2005-07-18 |
| 1316402860 | Community Health of Central Washington | Clinic/Center | 501 S 5th Ave, Yakima, WA 98902-3550 | 2019-02-08 |
| 1588082895 | Community Health of Central Washington | Clinic/Center | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 | 2014-04-03 |
| 1376878769 | Community Health of Central Washington | Dentist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2009-10-02 |
| 1003061664 | Community Health of Central Washington | Pharmacy | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2008-11-24 |
| 1700097706 | Community Health of Central Washington | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2007-05-24 |
| 1205046141 | Community Health of Central Washington | Clinic/Center | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2007-05-22 |
| 1578775631 | Community Health of Central Washington | Family Medicine | 102 E 2nd St, Naches, WA 98937 | 2007-05-03 |
| 1154533222 | Community Health of Central Washington | Clinic/Center | 402 S 12th Ave, Yakima, WA 98902-3115 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH OF CENTRAL WASHINGTON | 501 S. 5th Avenue, Yakima, WA 98902-3550 |
| Street Address |
212 S 6TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114050358 | Christopher David Balm | Specialist/Technologist | 212 S 6th Ave, Yakima, WA 98902-3303 | 2007-03-14 |
| 1881230647 | Noel A Cisneros | Specialist/Technologist | 212 S 6th Ave, Yakima, WA 98902-3303 | 2019-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912242769 | Whitman Middle School | Clinic/Center | 9201 15th Ave Nw, Seattle, WA 98117-2336 | 2012-12-05 |
| 1114241478 | Pacific Lutheran University | Clinic/Center | 12108 S Park Ave, Tacoma, WA 98447-0001 | 2010-03-16 |
| 1720313026 | Student Health Options | Clinic/Center | 534 S 3rd Ave, Suite 16, Walla Walla, WA 99362-3177 | 2009-10-05 |
| 1114040755 | Childhaven - Gogerty Branch | Clinic/Center | 1345 22nd St Ne, Auburn, WA 98002-3442 | 2007-04-09 |
| 1457474090 | Childhaven - Lake City | Clinic/Center | 2350 Ne 95th St, Seattle, WA 98115-2433 | 2007-04-09 |
| 1245353887 | Childhaven - Creekmore Branch | Clinic/Center | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2007-04-09 |
| 1770557290 | University of Puget Sound | Clinic/Center | 1500 N Warner St, Cmb 1035, Tacoma, WA 98416-5000 | 2006-02-13 |
| 1629048848 | Wwu Campus Health & Wellness | Clinic/Center | 133 S College Ave, Suite 101, College Place, WA 99324-1193 | 2006-01-23 |
| 1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
| 1346464294 | Childhaven - Broadway Branch | Clinic/Center | 316 Broadway, Seattle, WA 98122-5325 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.