| Chas Health At Shadle Park | |
|
4327 N Ash St Spokane WA 99205-1411 | |
| (509) 444-8888 | |
| (509) 444-7806 |
| Full Name | Chas Health At Shadle Park |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4327 N Ash St, Spokane, Washington |
| Authorized Official Name and Position | Nathan Halvorson (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 5094448888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chas Health At Shadle Park 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | Chas Health At Shadle Park 4327 N Ash St Spokane WA 99205-1411 Ph: (509) 444-8888 |
| NPI Number | 1871704783 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871704783 | NPI | - | NPPES |
| 7135700 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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