NPIMap

Organization Active NPI

Community Health of Central Washington

  • Student Health Clinic/Center
  • Yakima, WA
National Provider Identifier
1003398892
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Practice address
212 S 6TH Ave
Yakima, WA 98902-3303
Phone
(509) 494-6700
Fax
(509) 573-6275
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Gonzalez
Title
Ceo
Phone
(509) 494-6700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

212 S 6TH Ave
Yakima, WA 98902-3303

Mailing address

501 S 5TH Ave
Yakima, WA 98902-3550
Phone (509) 494-6700

Other practice location 1

4244 Bullfrog Rd
Cle Elum, WA 98922-8717
Phone (509) 933-2400

Other identifiers 1

IdentifierTypeStateIssuer
7118276MedicaidWA

Other names 1

  • Davis Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health of Central14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

212 S 6th Ave
Yakima, WA 98902
Phone (509) 573-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1003398892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023550",
            "telephone_number": "509-494-6700",
            "fax_number": "509-573-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 6TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023303",
            "telephone_number": "509-494-6700",
            "fax_number": "509-573-6275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4244 Bullfrog Rd",
            "address_purpose": "LOCATION",
            "city": "Cle Elum",
            "state": "WA",
            "postal_code": "989228717",
            "country_code": "US",
            "telephone_number": "509-933-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTH OF CENTRAL WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-494-6700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7118276",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.