NPIMap

Organization Active NPI

Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
National Provider Identifier
1407067317
Registry record updated Jul 31, 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
5620 S Regal St Ste 11
Spokane, WA 99223-7957
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
May 24, 2007
Last updated
Jul 31, 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 Jul 31, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X WA Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

5620 S Regal St Ste 11
Spokane, WA 99223-7957

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7116213MedicaidWA

Other names 1

  • Southgate 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
O20190109001688 WA Part A Provider - Federally Qualified Health Center (FQHC) 9638063217 Practice locations: Spokane, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407067317. Details of each certification follow.

Federally qualified health center certification: CCN 941043

Legal name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 10, 2018
Last certification
Dec 10, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1994 in WA
Enrollment address
5620 S Regal St
Ste 11
Spokane, WA 99223-7957

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 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 OfficerBoard Member Jan 1, 2018
Rachel Moe Individual Corporate DirectorBoard Member Feb 1, 2019
Jennifer Morris Individual Corporate DirectorBoard Member Jun 1, 2023
Jenenne Newbre Individual Corporate DirectorBoard Member Jan 1, 2022
Hollie Westly Individual Corporate DirectorBoard Member Apr 1, 2022
Frank Wilson Individual Corporate DirectorBoard Member Nov 25, 2013
John Browne Individual Corporate OfficerChief Financial & Strategy Officer Jan 9, 2016
W-2 Managing EmployeeCfo Sep 25, 2013
Deahna Olson Individual Corporate DirectorBoard Member Apr 1, 2018
Maria Ekkert Individual Corporate DirectorBoard Member Jul 11, 2012
Aaron Wilson Individual Corporate OfficerCeo Apr 1, 2015
Sharon Stadelman Individual Corporate DirectorBoard Member-Sec/Treas Nov 1, 2012
Community Health Association of Spokane Organization, Spokane, WA Corporation 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
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 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 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1407067317",
    "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": "5620 S REGAL ST STE 11",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237957",
            "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": "2026-07-31",
        "certification_date": "2026-07-31",
        "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": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116213",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southgate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.