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Organization

COMMUNITY HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID FLENTGE (CEO)
(253) 597-4550
Entity
Organization

Contact information

Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402
(253) 597-4550
(253) 597-4556
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
(253) 597-4556

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019032
WA
01
50D0635814
CLIA
WA
01
8907871
L & I, CVC
WA
Enumeration date
12/29/2005
Last updated
08/19/2025
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