COMMUNITY HEALTH CARE NPI 1497314819

NPI Information

NPI: 1497314819
Provider Name: COMMUNITY HEALTH CARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 50D2170872

Address:
22001 38TH AVE E RM 111
SPANAWAY, WA
ZIP 98387
Phone: (253) 597-4550
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COMMUNITY HEALTH CARE is a dental clinic center in Spanaway, WA. COMMUNITY HEALTH CARE NPI is 1497314819. The provider is registered as an organization entity type.

The provider's business location address is:

22001 38TH AVE E RM 111
SPANAWAY, WA
ZIP 98387-875
Phone: (253) 597-4550

The provider's authorized official is David Flentge .
The authorized official title is Ceo and has the following contact phone number (253) 597-4550.

The CLIA number assigned to this NPI record is 50D2170872 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 6/10/2019.

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	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			No
2	261QD0000X	Clinic/Center	Dental			Yes

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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