Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Active
Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Active
Other names
CHAS Health Lidgerwood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN HALVORSON (CHIEF COMPLIANCE OFFICER)
(509) 444-8888
Entity
Organization
Contact information
Practice address
5901 N LIDGERWOOD ST STE 128, SPOKANE, WA 99208-1122
(509) 444-8888
(509) 444-7806
Mailing address
731 N IRON BRIDGE WAY, SPOKANE, WA 99202-4926
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/07/2025
Last updated
01/05/2026
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