# COMMUNITY HEALTH OF CENTRAL WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Population Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316402860
- **Authorized official:** ANGELA GONZALEZ (CEO)
- **Authorized official phone:** (509) 494-6700

## Contact information

- **Practice address:** 501 S 5TH AVE, YAKIMA, WA 98902-3550
- **Practice address phone:** (509) 494-6700
- **Practice address fax:** (509) 573-6275
- **Mailing address:** 501 S 5TH AVE, YAKIMA, WA 98902-3550
- **Mailing address phone:** (509) 494-6700
- **Mailing address fax:** (509) 573-6275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 02/08/2019
- **Last updated:** 10/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0031820 | LABOR AND INDUSTRIES | WA |
| 05 | — | 7118276 | — | WA |