Ellensburg Dental Care
LBN: Community Health Of Central Washington
Ellensburg Dental Care is an health care organization with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Community Health Of Central Washington can be contacted via phone (509) 933-4800, or through Gonzalez, Angela via phone (509) 494-6700.
Contact Information
Primary practice address
521 E Mountain View Ave
Ellensburg WA 98926-3865
Phone: (509) 933-4800
Fax: (509) 933-4802
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | ||
Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
NPI number | 1376878769 |
---|---|
LBN Legal business name | Community Health Of Central Washington |
DBA Doing business as | Ellensburg Dental Care |
Authorized official | Gonzalez, Angela |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 2nd, 2009 |
Last updated | Oct 11th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376878769 | NPPES |
Washington | MEDICAID | 7118276 |
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