| Community Health Association Of Spokane | |
|
1720 2nd St Cheney WA 99004-1910 | |
| (509) 444-8200 | |
| Not Available |
| Full Name | Community Health Association Of Spokane |
|---|---|
| Speciality | Clinic/Center |
| Location | 1720 2nd St, Cheney, Washington |
| Authorized Official Name and Position | Aaron Wilson (CEO) |
| Authorized Official Contact | 5094448888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Association Of Spokane 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | Community Health Association Of Spokane 1720 2nd St Cheney WA 99004-1910 Ph: (509) 444-8200 |
| NPI Number | 1013387836 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 9638063217 |
|---|---|
| Medicare Enrollment ID | O20160114002916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013387836 | NPI | - | NPPES |
| 94-1008 | Other | WA | MEDICARE PART A |
| GAB11720 | Other | WA | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peak Vitality, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 1st St, Cheney, WA 99004 Phone: 770-883-9275 |