NPIMap

Organization Active NPI

Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Lewiston, ID
National Provider Identifier
1609114750
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
1534 Idaho St
Lewiston, ID 83501-2573
Phone
(208) 848-8300
Fax
(208) 848-8303
NPI assigned
Jan 24, 2013
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1534 Idaho St
Lewiston, ID 83501-2573

Mailing address

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

Other names 1

  • CBHC ID Other name

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
O20250604001921 ID Part A Provider - Federally Qualified Health Center (FQHC) 9638063217 Practice locations: Lewiston, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609114750. Details of each certification follow.

Federally qualified health center certification: CCN 131047

Legal name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 18, 2025
Last certification
Jun 18, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1534 Idaho St
Lewiston, ID 83501-2573

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
Tax ID family
Community Health Assoc56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

338 6th St
Ste 101
Lewiston, ID 83501
Phone (208) 848-8290

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 Director Nov 1, 2021
Michelle King Individual Corporate Director Apr 1, 2021
Janice Medlock Individual Corporate Director Jan 1, 2025
Rachel Moe Individual Corporate Director Feb 1, 2019
Jennifer Morris Individual Corporate Director Jun 1, 2023
Geoff Rowand Individual Corporate Director Sep 1, 2024
Hollie Westly Individual Corporate Director Apr 1, 2022
Frank Wilson Individual Corporate Director Nov 1, 2020
John Browne Individual Corporate Officer Jan 9, 2016
W-2 Managing Employee Jan 9, 2016
Robert Duron Individual Corporate Director Dec 1, 2024
Maria Ekkert Individual Corporate Director Jul 1, 2019
Aaron Wilson Individual Corporate Officer Apr 15, 2015
W-2 Managing Employee Apr 15, 2015
Sharon Stadelman Individual Corporate Director Jan 1, 2024
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 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 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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1609114750",
    "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": "1534 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012573",
            "telephone_number": "208-848-8300",
            "fax_number": "208-848-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ASSOCIATION OF SPOKANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "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
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBHC ID",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.