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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