| Community Health Association Of Spokane | |
|
803 S Main St Ste 120 Moscow ID 83843 | |
| (208) 848-8300 | |
| (208) 882-5587 |
| Full Name | Community Health Association Of Spokane |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 803 S Main St Ste 120, Moscow, Idaho |
| Authorized Official Name and Position | Aaron Wilson (CEO) |
| Authorized Official Contact | 5094448888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Association Of Spokane 203 N Washington St Suite 300 Spokane WA 99201-0233 Ph: () - | Community Health Association Of Spokane 803 S Main St Ste 120 Moscow ID 83843 Ph: (208) 848-8300 |
| NPI Number | 1497205652 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497205652 | NPI | - | NPPES |
| 1369012 | Other | ID | MEDICARE PART B PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Palouse Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 W A St, Moscow, ID 83843 Phone: 208-882-9999 Fax: 208-882-9998 | |
Dental Depot Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 S Jefferson St, Suite 2, Moscow, ID 83843 Phone: 208-882-2531 Fax: 208-882-5701 | |
Bluesky Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 W A St Ste 204, Moscow, ID 83843 Phone: 208-882-9111 Fax: 208-882-3279 | |
Wayne Peterson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 West A St, Moscow, ID 83843 Phone: 208-882-9310 Fax: 208-882-8601 | |
Nature's Way Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 S Washington St Ste 303, Moscow, ID 83843 Phone: 208-883-7777 | |
Palouse Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 W A St, Suite A, Moscow, ID 83843 Phone: 208-882-0331 |