Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Active
Other names
Shiloh Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN HALVORSON (CHIEF COMPLIANCE OFFICER)
(509) 444-8888
Entity
Organization
Contact information
Practice address
505 E STONEWALL AVE, SPOKANE, WA 99208-5747
(509) 444-8200
(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
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
01/05/2026
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