Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Active
Other names
Maple Medical
Organization subpart
No
Provider details
NPI number
Authorized official
AARON WILSON (CEO)
(509) 444-8888
Entity
Organization
Contact information
Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8888
(509) 444-8706
Mailing address
731 N IRON BRIDGE WAY, SPOKANE, WA 99202-4926
(509) 444-8888
(509) 444-8706
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107498
L & I GROUP #
WA
05
—
7079668
—
WA
05
—
7079676
—
WA
05
—
7097348
—
WA
05
—
7105950
—
WA
05
—
7130958
—
WA
01
—
DA6658
MEDICARE PALMETTO RAIL RD
—
Enumeration date
04/27/2006
Last updated
01/05/2026
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