Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Other names
Davis Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization
Contact information
Practice address
212 S 6TH AVE, YAKIMA, WA 98902-3303
(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
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7118276
—
WA
Enumeration date
08/29/2018
Last updated
10/11/2023
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