COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI 1376878769

NPI Information

NPI: 1376878769
Provider Name: COMMUNITY HEALTH OF CENTRAL WASHINGTON

Doing Business As: ELLENSBURG DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA
ZIP 98926
Phone: (509) 933-4800
Get Directions

COMMUNITY HEALTH OF CENTRAL WASHINGTON is a dental clinic center in Ellensburg, WA. COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI is 1376878769. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ellensburg Dental Care.

The provider's business location address is:

521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA
ZIP 98926-865
Phone: (509) 933-4800
Fax: (509) 933-4802

The provider's authorized official is Angela Gonzalez .
The authorized official title is Ceo and has the following contact phone number (509) 494-6700.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1223G0001X	Dentist	General Practice	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
3	261QS1000X	Clinic/Center	Student Health	No
4	261QD0000X	Clinic/Center	Dental	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7118276	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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