| Community Health Of Central Washington | |
|
402 S 12th Ave Yakima WA 98902-3115 | |
| (509) 575-0114 | |
| (509) 575-0808 |
| Full Name | Community Health Of Central Washington |
|---|---|
| Speciality | Pediatrics |
| Location | 402 S 12th Ave, Yakima, 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 501 S 5th Ave Yakima WA 98902-3550 Ph: (509) 494-6700 | Community Health Of Central Washington 402 S 12th Ave Yakima WA 98902-3115 Ph: (509) 575-0114 |
| NPI Number | 1154533222 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 4183536931 |
|---|---|
| Medicare Enrollment ID | O20070606000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154533222 | NPI | - | NPPES |
| 31820 | Other | WA | LABOR & INDUSTRIES |
| 7118276 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 230, Yakima, WA 98902 Phone: 509-248-3440 Fax: 509-249-4460 | |
Community Health Of Central Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S 6th Ave, Yakima, WA 98902 Phone: 509-494-6700 Fax: 509-573-6275 | |
Yakima Valley Professional Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N 40th Ave, Yakima, WA 98908 Phone: 509-966-9480 Fax: 509-966-3283 | |
Memorial Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 S. 38th Ave, Yakima, WA 98902 Phone: 509-965-1035 Fax: 509-225-2700 | |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |
Yakima Valley Farm Workers Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 S 11th Ave, Yakima, WA 98902 Phone: 509-902-8585 Fax: 509-902-2030 | |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 350, Yakima, WA 98902 Phone: 509-573-3939 |