# COMMUNITY HEALTH OF CENTRAL WASHINGTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellensburg Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376878769
- **Authorized official:** ANGELA GONZALEZ (CEO)
- **Authorized official phone:** (509) 494-6700

## Contact information

- **Practice address:** 521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
- **Practice address phone:** (509) 933-4800
- **Practice address fax:** (509) 933-4802
- **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 |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2009
- **Last updated:** 10/11/2023