Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Active
Other names
CHAS Spokane Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN HALVORSON (CHIEF COMPLIANCE OFFICER)
(509) 444-8888
Entity
Organization
Contact information
Practice address
601 W 5TH AVE STE 200, SPOKANE, WA 99204-2710
(509) 960-8894
Mailing address
601 W 5TH AVE STE 200, SPOKANE, WA 99204-2710
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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