Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Other names
Central Washington Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
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
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31820
LABOR & INDUSTRIES
WA
05
—
7118276
—
WA
01
—
8932819
CRIME VICTIM
WA
Enumeration date
05/24/2007
Last updated
07/29/2020
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