| Community Health Of Central Washington-ellensburg | |
|
521 E Mountain View Ave Ellensburg WA 98926-3865 | |
| (509) 962-1414 | |
| (509) 962-1408 |
| Full Name | Community Health Of Central Washington-ellensburg |
|---|---|
| Speciality | Clinic/Center |
| Location | 521 E Mountain View Ave, Ellensburg, Washington |
| Authorized Official Name and Position | Angela Gonzalez (CEO) |
| Authorized Official Contact | 5094946700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Of Central Washington-ellensburg 501 S 5th Ave Yakima WA 98902-3550 Ph: (509) 494-6700 | Community Health Of Central Washington-ellensburg 521 E Mountain View Ave Ellensburg WA 98926-3865 Ph: (509) 962-1414 |
| NPI Number | 1205046141 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 4183536931 |
|---|---|
| Medicare Enrollment ID | O20071114000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205046141 | NPI | - | NPPES |
| 7118276 | Medicaid | WA | |
| 31820 | Other | WA | LABOR AND INDUSTRIES |
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