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Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Other names
Population Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization
Contact information
Practice address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031820
LABOR AND INDUSTRIES
WA
05
—
7118276
—
WA
Enumeration date
02/08/2019
Last updated
10/07/2021
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