NPIMap

Organization Active NPI

Community Health Association of Spokane

Doing business as Latah Community Health

  • Federally Qualified Health Center (FQHC)
  • Moscow, ID
National Provider Identifier
1285077230
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Doing business as
Latah Community Health
Practice address
803 S. Main Street
Ste 120
Moscow, ID 83843
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
Apr 9, 2013
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Aaron Wilson
Title
Ceo
Phone
(509) 444-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

803 S. Main Street
Ste 120
Moscow, ID 83843

Mailing address

731 N Iron Bridge Way
Spokane, WA 99202-4926
Phone (509) 444-8888

Other names 1

  • Latah Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090723000312 ID Part B Supplier - Clinic/Group Practice 9638063217 Receives reassigned benefits from 41 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewiston, ID; Moscow, ID
O20140307000218 ID Part A Provider - Federally Qualified Health Center (FQHC) 9638063217 Practice locations: Moscow, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285077230. Details of each certification follow.

Federally qualified health center certification: CCN 131853

Legal name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Doing business as
CHAS LATAH COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 31, 2014
Last certification
Jan 31, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1994 in WA
Enrollment address
803 S Main St
Ste 120
Moscow, ID 83843-2695

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Chas North Central Pharmacy

Locations

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joe Gellatly Individual Corporate DirectorBoard Member Mar 17, 2008
Michelle King Individual Corporate DirectorBoard Member Apr 1, 2021
Janice Medlock Individual Corporate DirectorBoard Member Dec 30, 2019
Chad Dashiell Individual Corporate DirectorBoard Member Nov 1, 2012
Rachel Moe Individual Corporate DirectorBoard Member Dec 30, 2019
Jenenne Newbre Individual Corporate DirectorBoard Member Dec 30, 2019
Frank Wilson Individual Corporate DirectorBoard Member Jul 25, 2019
John Browne Individual Corporate OfficerCfo Jan 9, 2016
W-2 Managing EmployeeCfo May 1, 2015
Deahna Olson Individual Corporate DirectorBoard Member Dec 30, 2019
Maria Ekkert Individual Corporate DirectorBoard Member Jul 11, 2012
Aaron Wilson Individual Corporate OfficerCeo Apr 1, 2015 100%
W-2 Managing EmployeeCeo Apr 1, 2015
Charles Williams Individual Corporate DirectorBoard Member Dec 1, 2020
Sharon Stadelman Individual Corporate DirectorBoard Member Nov 1, 2012
Community Health Association of Spokane Organization, Spokane, WA Corporation, Non-profit Operational/Managerial Control Sep 8, 1994 100%

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

All facility ownership & control disclosures 18

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

FacilityTypeRoleSince
Lewis and Clark Health CenterLewiston, ID, CCN 131840 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneDeer Park, WA, CCN 501893 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501932 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501988 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane Valley, WA, CCN 941006 Federally qualified health center Operational/Managerial Control (100%) Sep 5, 1994
Community Health Association of SpokaneCheney, WA, CCN 941008 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 941042 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 941043 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 941065 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 941125 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501022 Federally qualified health center Operational/Managerial Control (100%) Sep 5, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501050 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501053 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501058 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501059 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneLewiston, ID, CCN 131047 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501073 Federally qualified health center Operational/Managerial Control Sep 8, 1994
Community Health Association of SpokaneSpokane, WA, CCN 501076 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994

Owned or controlled facilities with NPI records 18

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

View all 18

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1285077230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024926",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S. MAIN STREET",
            "address_2": "STE 120",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "83843",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ASSOCIATION OF SPOKANE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH ASSOCIATION OF SPOKANE",
        "enumeration_date": "2013-04-09",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-444-8888"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latah Community Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Latah Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.