Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Other names
Highland Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization
Contact information
Practice address
915 WISCONSIN AVENUE, TIETON, WA 98947
(509) 673-0044
(509) 673-0054
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031820
LABOR AND INDUSTRIES
WA
05
—
901005
—
WA
Enumeration date
09/18/2015
Last updated
07/29/2020
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