NPIMap

Organization Active NPI

Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
National Provider Identifier
1871704783
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
4327 N Ash St
Spokane, WA 99205-1411
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
May 24, 2007
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
Nathan Halvorson
Title
Corporate Compliance Officer
Phone
(509) 444-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

4327 N Ash St
Spokane, WA 99205-1411

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7135700MedicaidWA

Other names 1

  • CHAS Health at Shadle Park 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
O20240723001670 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 1871704783. Details of each certification follow.

Federally qualified health center certification: CCN 501059

Legal name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 8, 2024
Last certification
Jul 8, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1994 in WA
Enrollment address
4327 N Ash St
# B115
Spokane, WA 99205-1411

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2292580Chas Health at Shadle Park High4327 N Ash St, Spokane, WA 99205Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Part of
Community Health Assoc

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 Oct 1, 2021
Michelle King Individual Corporate DirectorBoard Member Apr 1, 2021
Janice Medlock Individual Corporate DirectorBoard Member Dec 30, 2019
Rachel Moe Individual Corporate DirectorBoard Member Feb 1, 2019
Jennifer Morris Individual Corporate DirectorBoard Member Jun 1, 2023
Jenenne Newbre Individual Corporate DirectorBoard Member Dec 30, 2019
Hollie Westly Individual Corporate DirectorBoard Member Apr 1, 2022
Frank Wilson Individual Corporate DirectorBoard Member Jul 25, 2019
John Browne Individual Corporate OfficerChief Financial & Strategy Officer Jan 9, 2016
W-2 Managing EmployeeCfo Jan 9, 2016
Deahna Olson Individual Corporate DirectorBoard Member Dec 30, 2019
Maria Ekkert Individual Corporate DirectorBoard Member Jun 1, 2019
Aaron Wilson Individual Corporate OfficerCeo Apr 15, 2015 100%
W-2 Managing Employee Apr 15, 2015
Sharon Stadelman Individual Corporate DirectorBoard Member Jan 23, 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 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 11

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1871704783",
    "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": "4327 N ASH ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051411",
            "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": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAS Health at Shadle Park",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.