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Organization

COMMUNITY HEALTH OF CENTRAL WASHINGTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization

Contact information

Practice address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(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
207Q00000X
Family Medicine Physician
602254033
WA
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031820
LABOR & INDUSTRIES
WA
01
25344
GROUP HEALTH
WA
05
7118276
WA
01
8932819
CRIME VICTIM NUMBER
WA
01
CE0030
REGENCE
WA
01
DA3135
RAILROAD MEDICARE NUMBER
WA
Enumeration date
07/18/2005
Last updated
07/29/2020
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