Organization
COMMUNITY HEALTH CARE
Active
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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