NPIMap

Organization Active NPI

Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane Valley, WA
National Provider Identifier
1336219088
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
Practice address
15812 E. Indiana Ave.
Spokane Valley, WA 99216
Phone
(509) 444-8206
Fax
(509) 444-7806
NPI assigned
Nov 9, 2006
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 Primary

Addresses

Primary practice location

15812 E. Indiana Ave.
Spokane Valley, WA 99216

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
DA6658OtherMEDICARE PALMETTO RAIL RD

Other names 1

  • CHAS VALLEY MEDICAL Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

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
O20100922000238 WA Part A Provider - Federally Qualified Health Center (FQHC) 9638063217 Practice locations: Spokane Valley, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336219088. Details of each certification follow.

Federally qualified health center certification: CCN 501854

Legal name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 1, 2000
Last certification
Nov 1, 2000
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1994 in WA
Enrollment address
15812 E Indiana Ave
Spokane Valley, WA 99216-1875

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 22

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

View all 22

National Provider Directory

National Provider Directory
Part of
Chas North Central Pharmacy

Ownership & related parties

All disclosed owners & managing parties 7

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 OfficerBoard Member Mar 17, 2008
Corporate DirectorBoard Member Mar 17, 2008
Victor T Bray Individual Corporate OfficerBoard Member Jan 24, 2011
Corporate DirectorBoard Member Jan 24, 2011
Chad Dashiell Individual Corporate OfficerBoard Member Nov 1, 2012
Corporate DirectorBoard Member-Chair Nov 1, 2012
John Browne Individual Corporate DirectorCfo Jan 9, 2006
W-2 Managing EmployeeCfo May 1, 2015
Maria Ekkert Individual Corporate OfficerBoard Member Jul 11, 2012
Corporate DirectorBoard Member Jul 11, 2012
Aaron Wilson Individual Corporate DirectorCeo Apr 1, 2015
W-2 Managing EmployeeCeo Apr 1, 2015
Sharon Stadelman Individual Corporate OfficerBoard Member Nov 1, 2012
Corporate DirectorBoard Member-Sec/Treas Nov 1, 2012

All facility ownership & control disclosures 19

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
Chas Latah Community HealthMoscow, ID, CCN 131853 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 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1336219088",
    "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": "15812 E. INDIANA AVE.",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-444-8206",
            "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": "2006-11-09",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PALMETTO RAIL RD",
            "identifier": "DA6658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAS VALLEY MEDICAL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CHAS VALLEY MEDICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.