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Community Health Association of Spokane

Organization Active NPI Federally Qualified Health Center (FQHC) · Spokane, WA

NPI 1295946101 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1295946101
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Practice address
914 W Carlisle Ave
Spokane, WA 99205-3309
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
May 24, 2007
Organization subpart
Yes
Parent organization (as reported)
COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Authorized official

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

Owners & managing parties with NPI records 24

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

Owned or controlled facilities with NPI records 18

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

Other NPIs on the same Medicare enrollment 22

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

Other NPIs with the same Medicare PAC ID 24

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

Facilities with the same owner 18

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

Practitioners 302

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 302

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2160489North Central Clinic
914 W Carlisle Ave, Spokane, WA 99205		Certificate of waiverApr 4, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WA

Federally qualified health center certification: CCN 941042

Legal name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 2, 2019
Last certification
Jan 2, 2019
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Sep 8, 1994 in WA
Enrollment address
914 W Carlisle Ave
Spokane, WA 99205-3309

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 Director
BRD MBR		 Mar 17, 2008
Michelle King
Individual 		Corporate Director
Board Member		 Apr 1, 2021
Janice Medlock
Individual 		Corporate Director
Board Member		 Jan 1, 2018
Rachel Moe
Individual 		Corporate Director
Board Member		 Feb 1, 2019
Jennifer Morris
Individual 		Corporate Director
Board Member		 Jun 1, 2023
Jenenne Newbre
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Hollie Westly
Individual 		Corporate Director
Board Member		 Apr 1, 2022
Frank Wilson
Individual 		Corporate Director
BRD MBR		 Nov 25, 2013
John Browne
Individual 		Corporate Officer
Chief Financial and Strategy Office		 Oct 1, 2018
W-2 Managing Employee
Cfo		 Oct 1, 2018
Deahna Olson
Individual 		Corporate Director
Board Member		 Apr 1, 2018
Maria Ekkert
Individual 		Corporate Director
BRD MBR		 Jul 11, 2012
Aaron Wilson
Individual 		Corporate Officer
Ceo		 Apr 1, 2015
W-2 Managing Employee
Ceo		 Apr 1, 2015
Sharon Stadelman
Individual 		Corporate Director
BRD MBR- Sec/Treas		 Nov 1, 2012
Community Health Association of Spokane
Organization · Spokane, WA
Corporation 		Operational/Managerial Control Sep 8, 1994 100%

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 Center
Lewiston, ID · CCN 131840		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Deer Park, WA · CCN 501893		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501932		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Chas Latah Community Health
Moscow, ID · CCN 131853		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501988		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane Valley, WA · CCN 941006		 Federally qualified health center Operational/Managerial Control (100%) Sep 5, 1994
Community Health Association of Spokane
Cheney, WA · CCN 941008		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 941043		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 941065		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 941125		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501022		 Federally qualified health center Operational/Managerial Control (100%) Sep 5, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501050		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501053		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501058		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501059		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Lewiston, ID · CCN 131047		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501073		 Federally qualified health center Operational/Managerial Control Sep 8, 1994
Community Health Association of Spokane
Spokane, WA · CCN 501076		 Federally qualified health center Operational/Managerial Control (100%) Sep 8, 1994

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040212000971 WA Part B Supplier - Clinic/Group Practice 9638063217 Receives reassigned benefits from 334 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spokane, WA; Spokane Valley, WA; Cheney, WA; Deer Park, WA
O20181205000996 WA Part a Provider - Federally Qualified Health Center (FQHC) 9638063217 Practice locations: Spokane, WA

National Provider Directory

Part of
Community Health Association of Spokane

Locations

1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204

15812 E Indiana Ave
Ste 101
Spokane Valley, WA 99216

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

914 W Carlisle Ave
Spokane, WA 99205-3309

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
7115793MedicaidWA

Other names

  • North Central Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1295946101",
    "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": "914 W CARLISLE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992053309",
            "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": "2007-05-24",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115793",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "North Central",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

All providers in Spokane, WA · Federally Qualified Health Center (FQHC) in Washington

Sources for this page

Verify at the official NPI Registry.