| Community Health Care | |
|
201 W Main Puyallup WA 98371-5327 | |
| (253) 722-2161 | |
| Not Available |
| Full Name | Community Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 W Main, Puyallup, Washington |
| Authorized Official Name and Position | David Flentge (PRESIDENT & CEO) |
| Authorized Official Contact | 2535974550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care 1148 Broadway Ste 100 Tacoma WA 98402-3518 Ph: (253) 597-4550 | Community Health Care 201 W Main Puyallup WA 98371-5327 Ph: (253) 722-2161 |
| NPI Number | 1003515594 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 1850201559 |
|---|---|
| Medicare Enrollment ID | O20241122003474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003515594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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