COMMUNITY HEALTH OF CENTRAL WASHINGTON (NPI# 1205046141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205046141 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH OF CENTRAL WASHINGTON |
| Other Organization Name | COMMUNITY HEALTH OF CENTRAL WASHINGTON-ELLENSBURG |
| Practice Address |
521 E Mountain View Ave Ellensburg WA 98926-3865 |
| Mailing Address |
501 S 5th Ave Yakima WA 98902-3550 |
| Practice Telephone | 5099621414 |
| Practice Fax Number | 5099621408 |
| Mailing Telephone | 5094946700 |
| Mailing Fax Number | 5095736275 |
| Enumeration Date | 2007-05-22 |
| 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 | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 31820 | 01 |
| WA | 7118276 | 05 |
| Other Name | Type Code |
|---|---|
| Community Health of Central Washington-Ellensburg | 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 |
| 1003398892 | Community Health of Central Washington | Clinic/Center | 212 S 6th Ave, Yakima, WA 98902-3303 | 2018-08-29 |
| 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 |
| 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 |
521 E MOUNTAIN VIEW AVE |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290275 | John M Asriel Sr. | Family Medicine | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2005-10-27 |
| 1063022499 | Marcus K Jackson | Dentist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2020-07-31 |
| 1750911152 | Rachel D Drummond | Registered Nurse | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2020-01-24 |
| 1144860925 | Nicole S Hilderman | Registered Nurse | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2020-01-09 |
| 1154963700 | David Francis Englund | Registered Nurse | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2019-10-16 |
| 1326607318 | Miriam M Pease | Dental Hygienist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2019-06-12 |
| 1639664337 | Amy L Claussen | Physician Assistant | 521 E Mountain View Ave, Ellensburg, WA 98926 | 2018-06-25 |
| 1710472717 | Andrea Michelle Price | Dentist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2018-06-22 |
| 1962904060 | Alyesha M Villalobos | Counselor | 521 E Mountain View Ave, Ellensburg, WA 98926 | 2018-03-05 |
| 1467950410 | Shannon M Simpson | Dental Hygienist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588082895 | Community Health of Central Washington | Clinic/Center | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH OF CENTRAL WASHINGTON.
| 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.