COMMUNITY HEALTH ASSOCIATION OF SPOKANE (NPI# 1770972754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770972754 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
Other Organization Name | PERRY STREET CLINIC |
Practice Address |
817 S Perry St Unit B Spokane WA 99202-3443 |
Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
Practice Telephone | 5094448200 |
Mailing Telephone | 5094448888 |
Mailing Fax Number | 5094447806 |
Enumeration Date | 2015-01-14 |
Last Update Date | 2020-08-21 |
Authorized Official Name | AARON WILSON (CEO) |
Authorized Official Telephone | 5094448888 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
WA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Perry Street Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871137141 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd Lowr, Spokane Valley, WA 99216-1078 | 2019-10-30 |
1326461765 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd # Ll, Spokane Valley, WA 99216-1078 | 2014-01-21 |
1285077230 | Community Health Association of Spokane | Clinic/Center | 803 S. Main Street, Ste 120, Moscow, ID 83843 | 2013-04-09 |
1437401148 | Community Health Association of Spokane | Clinic/Center | 1203 Idaho Street, Lewiston, ID 83501-1940 | 2012-10-04 |
1790050862 | Community Health Association of Spokane | Clinic/Center | 2211 E Hartson Ave, Spokane, WA 99202-4152 | 2012-03-21 |
1902017817 | Community Health Association of Spokane | Clinic/Center | 1622 E Wellesley Ave, Spokane, WA 99207 | 2007-05-24 |
1407067317 | Community Health Association of Spokane | Clinic/Center | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2007-05-24 |
1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
1336219088 | Community Health Association of Spokane | Clinic/Center | 15812 E. Indiana Ave., Spokane Valley, WA 99216 | 2006-11-09 |
1134130784 | Community Health Association of Spokane | Pharmacy | 15812 E Indiana Ave Ste 200, Spokane Valley, WA 99216-1875 | 2006-08-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | COMMUNITY HEALTH ASSOCIATION OF SPOKANE | 611 N Iron Bridge Way, Spokane, WA 99202-4932 |
Street Address |
817 S PERRY ST UNIT B |
City | SPOKANE |
State | WA |
Zip Code | 99202-3443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750310744 | Arthur M. A. Flores | Physician Assistant | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2006-07-02 |
1730799321 | Amina Memisevic | Registered Nurse | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2020-08-07 |
1619595360 | Brittany Diane Leaf | Pharmacist | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2020-07-09 |
1811522675 | Marjorie Ruth Rubel | Registered Nurse | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2020-03-11 |
1154968766 | Juli Jeannine Anderson | Counselor | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-12-02 |
1528600889 | Chas Perry Street Pharmacy | Pharmacy | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-10-08 |
1760023469 | Dashiel Wham | Family Medicine | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-10-03 |
1881254001 | Scott William Moon | Registered Nurse | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-06-19 |
1336709922 | Michelle Lee Yager | Pharmacist | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-06-17 |
1194384230 | Lukas Wayne Vanvoorhis | Pharmacist | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
Find all providers in zip 99202 |
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 |
---|---|---|---|---|
1790050862 | Community Health Association of Spokane | Clinic/Center | 2211 E Hartson Ave, Spokane, WA 99202-4152 | 2012-03-21 |
1902017817 | Community Health Association of Spokane | Clinic/Center | 1622 E Wellesley Ave, Spokane, WA 99207 | 2007-05-24 |
1407067317 | Community Health Association of Spokane | Clinic/Center | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2007-05-24 |
1487773149 | Rodney K Gile | Clinic/Center | N 4815 Assembly St, Spokane, WA 99205 | 2007-03-27 |
1467868851 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1603 N Belt St, Spokane, WA 99205-4038 | 2014-07-07 |
1619275682 | Yakima Valley Farm Workers Clinic | Clinic/Center | 4001 N Cook St, Suite 800 and 900, Spokane, WA 99207-5879 | 2011-03-01 |
1932400546 | Yakima Valley Farm Workers Clinic | Clinic/Center | 4001 N Cook St, Spokane, WA 99207-5879 | 2010-11-12 |
1295946101 | Community Health Association of Spokane | Clinic/Center | 914 W Carlisle Ave, Spokane, WA 99205-3309 | 2007-05-24 |
1871704783 | Community Health Association of Spokane | Clinic/Center | 3919 N Maple St, Spokane, WA 99205-1349 | 2007-05-24 |
1346451259 | Community Health Association of Spokane | Clinic/Center | 4001 N Cook St, Spokane, WA 99207-5879 | 2007-05-24 |
Find all providers in SPOKANE |
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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.