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Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Other names
Ellensburg Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 933-4800
(509) 933-4802
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QS1000X
Student Health Clinic/Center
—
NULL
Other
Enumeration date
10/02/2009
Last updated
10/11/2023
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