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Community Health Of Central Washington
Federally Qualified Health Center (FQHC) in Tieton, Washington
NPI 1700255874

Community Health Of Central Washington is a Federally Qualified Health Center (FQHC) based in Yakima, WA and is specialized in Federally Qualified Health Center (FQHC). Community Health Of Central Washington practices in Tieton, WA. The NPI Number for Community Health Of Central Washington is 1700255874 and holds a License No. (Washington).

The current practice location address for Community Health Of Central Washington is 915 Wisconsin Avenue, Tieton, WA and can be reached out via phone at 509-673-0044 and via fax at 509-673-0054.

Location: 915 Wisconsin Avenue, Tieton, WA, 98902-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700255874
Provider Name
Community Health Of Central Washington
Credential
Provider Entity Type
Organization
Address
915 Wisconsin Avenue, Tieton, WA, 98902-3550
Phone Number
509-673-0044
Fax Number
509-673-0054
Provider Enumeration Date
09/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0031820 01 WA LABOR AND INDUSTRIES
901005 05 WA
institution
Provider Business Practice Location Address Details
Address
915 Wisconsin Avenue
City
Tieton
State
Washington
Zip
98947
Phone Number
509-673-0044
Fax Number
509-673-0054
person
Provider Business Mailing Address Details
Address
915 Wisconsin Avenue
City
Tieton
State
Washington
Zip
98947
Phone Number
509-673-0044
Fax Number
509-673-0054
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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