NPIMap

Organization Active NPI

Central Washington Health Services Association

Doing business as Confluence Health Central Campus Hospital Pharmacy

  • Clinic Pharmacy
  • Wenatchee, WA
National Provider Identifier
1215970546
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHAR.CF.60640874 Issued in WA
Legal business name
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Doing business as
Confluence Health Central Campus Hospital Pharmacy
Practice address
1201 S Miller St
Wenatchee, WA 98801-3201
Phone
(509) 433-3350
Fax
(509) 433-3008
NPI assigned
Jun 14, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Andrew Jones
Title
Ceo
Phone
(509) 663-8711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X PHAR.CF.60640874 WA Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1201 S Miller St
Wenatchee, WA 98801-3201

Mailing address

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 667-3333

Other identifiers 2

IdentifierTypeStateIssuer
2110452OtherPK
6020796MedicaidWA

Other names 1

  • CONFLUENCE HEALTH CENTRAL CAMPUS HOSPITAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000208 WA DME Supplier - Pharmacy 4880504596 Practice locations: Wenatchee, WA

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

National Provider Directory

National Provider Directory
Tax ID family
CWH Health Services24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Washington Health ServicesWenatchee, WA, CCN 507029 Home health agency Operational/Managerial Control Jul 21, 2013
Confluence Health Tonasket ClinicTonasket, WA, CCN 503932 Rural health clinic Operational/Managerial Control Jul 13, 2023
Confluence Health Oroville ClinicOroville, WA, CCN 503936 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health Moses Lake ClinicMoses Lake, WA, CCN 503934 Rural health clinic Operational/Managerial Control Jul 13, 2023
Confluence Health Wenatchee ClinicWenatchee, WA, CCN 503938 Rural health clinic Operational/Managerial Control Jul 1, 2013
Confluence Health Ephrata ClinicEphrata, WA, CCN 503927 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Waterville ClinicWaterville, WA, CCN 503937 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Brewster ClinicBrewster, WA, CCN 503920 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Cashmere ClinicCashmere, WA, CCN 503933 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health Omak ClinicOmak, WA, CCN 503935 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health E Wenatchee ClinicE Wenatchee, WA, CCN 503931 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Royal City ClinicRoyal City, WA, CCN 503854 Rural health clinic Operational/Managerial Control Jul 13, 2013

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1215970546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013201",
            "telephone_number": "509-667-3333",
            "fax_number": "509-667-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013201",
            "telephone_number": "509-433-3350",
            "fax_number": "509-433-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-663-8711"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60640874",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110452",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6020796",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONFLUENCE HEALTH CENTRAL CAMPUS HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.