Southgate

LBN: Community Health Association Of Spokane
Southgate is an health care organization with primary practice located at 5620 S Regal St Ste 11 , Spokane WA 99223-7957. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Health Association Of Spokane can be contacted via phone (509) 444-8888, or through Wilson, Aaron via phone (509) 444-8888.

Contact Information

Primary practice address
5620 S Regal St Ste 11 Spokane WA 99223-7957
Phone: (509) 444-8888
Fax: (509) 444-7806
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Aaron
Phone: (509) 444-8888

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Washington

Profile Details

NPI number 1407067317
LBN Legal business name Community Health Association Of Spokane
DBA Doing business as Southgate
Authorized official Wilson, Aaron
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407067317 NPPES
Washington MEDICAID 7116213

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