Organization
COMMUNITY HEALTH CARE
Active
Other names
Spanaway Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (PRESIDENT & CEO)
(253) 722-1500
Entity
Organization
Contact information
Practice address
15701 B ST E, TACOMA, WA 98445-1163
(253) 544-6534
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 544-6534
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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