COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI 1700255874

NPI Information

NPI: 1700255874
Provider Name: COMMUNITY HEALTH OF CENTRAL WASHINGTON

Doing Business As: HIGHLAND CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
915 WISCONSIN AVENUE
TIETON, WA
ZIP 98947
Phone: (509) 673-0044
Get Directions

COMMUNITY HEALTH OF CENTRAL WASHINGTON is a federally qualified health center (fqhc) clinic center in Tieton, WA. COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI is 1700255874. The provider is registered as an organization entity type.
The provider Is Doing Business As Highland Clinic.

The provider's business location address is:

915 WISCONSIN AVENUE
TIETON, WA
ZIP 98947
Phone: (509) 673-0044
Fax: (509) 673-0054

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 CLIA number assigned to this NPI record is 50D2108121 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/18/2015 and was last updated on 7/29/2020.

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	261Q00000X	Clinic/Center				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	901005	MEDICAID	WASHINGTON
2	0031820	OTHER	WASHINGTON	LABOR AND INDUSTRIES

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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