| Community Health Care | |
|
1148 Broadway Ste 100 Tacoma WA 98402 | |
| (253) 597-4550 | |
| (253) 597-4556 |
| Full Name | Community Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1148 Broadway Ste 100, Tacoma, Washington |
| Authorized Official Name and Position | David Flentge (CEO) |
| Authorized Official Contact | 2535974550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care 1148 Broadway Ste 100 Tacoma WA 98402-3518 Ph: (253) 597-4550 | Community Health Care 1148 Broadway Ste 100 Tacoma WA 98402 Ph: (253) 597-4550 |
| NPI Number | 1790762755 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 06/07/2019 |
| Medicare PECOS PAC ID | 1850201559 |
|---|---|
| Medicare Enrollment ID | O20040213000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790762755 | NPI | - | NPPES |
| 1019032 | Medicaid | WA | |
| 50D0635814 | Other | WA | CLIA |
| 8907871 | Other | WA | L & I, CVC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Washington) | Primary |
| Provider Name | Dean E Riskedahl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396800025 PECOS PAC ID: 7113908492 Enrollment ID: I20040525000562 |
| Provider Name | Desiree E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306855952 PECOS PAC ID: 9436114261 Enrollment ID: I20041122000380 |
| Provider Name | Melinda J Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578614830 PECOS PAC ID: 8123070372 Enrollment ID: I20050215001121 |
| Provider Name | William F Roes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942243175 PECOS PAC ID: 7810996923 Enrollment ID: I20061218000387 |
| Provider Name | Shauna N Applin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922167261 PECOS PAC ID: 7810998754 Enrollment ID: I20070120000063 |
| Provider Name | Holly L Torgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689854937 PECOS PAC ID: 5698858819 Enrollment ID: I20080212000172 |
| Provider Name | Rose Anne Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346218617 PECOS PAC ID: 1557312840 Enrollment ID: I20080626000038 |
| Provider Name | Holli S Banister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770589061 PECOS PAC ID: 5193891513 Enrollment ID: I20080909000717 |
| Provider Name | Sara J Weelborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124008743 PECOS PAC ID: 2769523703 Enrollment ID: I20100112000865 |
| Provider Name | Stephen G Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427078542 PECOS PAC ID: 7719001064 Enrollment ID: I20100824000626 |
| Provider Name | Kimberly G Sales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467460675 PECOS PAC ID: 1052435328 Enrollment ID: I20100824000806 |
| Provider Name | Jeffrey L. Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982612107 PECOS PAC ID: 2961490818 Enrollment ID: I20100909000234 |
| Provider Name | Lyle T Calcamuggio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255331922 PECOS PAC ID: 2264501451 Enrollment ID: I20110428000428 |
| Provider Name | Carri Jo Timmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033344791 PECOS PAC ID: 0749451649 Enrollment ID: I20110926000909 |
| Provider Name | Svetlana B Vasilkiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336423474 PECOS PAC ID: 4486820800 Enrollment ID: I20120105000521 |
| Provider Name | Amber J De La Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437424181 PECOS PAC ID: 2769644731 Enrollment ID: I20120509000140 |
| Provider Name | Stacie S Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235369422 PECOS PAC ID: 7911158225 Enrollment ID: I20121114000620 |
| Provider Name | Virginia A Buccola Tournay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124398482 PECOS PAC ID: 4789836289 Enrollment ID: I20121207000499 |
| Provider Name | Laila F Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801117353 PECOS PAC ID: 7911148754 Enrollment ID: I20130722000030 |
| Provider Name | Gayle Matthews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912138181 PECOS PAC ID: 9931335429 Enrollment ID: I20131111000490 |
| Provider Name | Johnny Erkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467593533 PECOS PAC ID: 8426097981 Enrollment ID: I20131125001368 |
| Provider Name | Annika R Malmberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730489634 PECOS PAC ID: 1951527795 Enrollment ID: I20140730002907 |
| Provider Name | Gary F Reichard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235195017 PECOS PAC ID: 1658349857 Enrollment ID: I20141117001426 |
| Provider Name | James Glenn Lenhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619955424 PECOS PAC ID: 9537190509 Enrollment ID: I20150810000442 |
| Provider Name | Dahna Berkson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407231376 PECOS PAC ID: 6608181482 Enrollment ID: I20150824000935 |
| Provider Name | Judy Burt Estroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295709715 PECOS PAC ID: 7810203585 Enrollment ID: I20150826002598 |
| Provider Name | Ann Goetcheus Gehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972760973 PECOS PAC ID: 6305086083 Enrollment ID: I20150827001567 |
| Provider Name | Stephanie C Penalver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174960173 PECOS PAC ID: 1850514050 Enrollment ID: I20150827003196 |
| Provider Name | Sandra V. Werner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639279656 PECOS PAC ID: 0749260883 Enrollment ID: I20150829000195 |
| Provider Name | Sheree Yanique Natalia Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053799965 PECOS PAC ID: 5799092433 Enrollment ID: I20150914001795 |
| Provider Name | David Tilden Estroff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639159981 PECOS PAC ID: 6901115971 Enrollment ID: I20151014003194 |
| Provider Name | Constance Blair Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124355144 PECOS PAC ID: 0042463804 Enrollment ID: I20151118002586 |
| Provider Name | Gregory Robert Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871048355 PECOS PAC ID: 8123384963 Enrollment ID: I20171109003194 |
| Provider Name | Vicki Lynn Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548710551 PECOS PAC ID: 7113275041 Enrollment ID: I20180808002751 |
| Provider Name | Travis Michael Podbilski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730538042 PECOS PAC ID: 8224381652 Enrollment ID: I20181031002516 |
| Provider Name | Samalie Sseba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851866602 PECOS PAC ID: 0244579977 Enrollment ID: I20190225001792 |
| Provider Name | Abigail Elizabeth Kress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154703601 PECOS PAC ID: 3870808710 Enrollment ID: I20190528001823 |
| Provider Name | Leilani M Attilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407334808 PECOS PAC ID: 5799034328 Enrollment ID: I20190820000511 |
| Provider Name | Isaura Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710535976 PECOS PAC ID: 5395178339 Enrollment ID: I20191205002738 |
| Provider Name | Amanda Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982090791 PECOS PAC ID: 9133435100 Enrollment ID: I20200114003746 |
| Provider Name | Yuliana Garcia Al-kaabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789551 PECOS PAC ID: 9739519810 Enrollment ID: I20200414002698 |
| Provider Name | Bryan Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639600018 PECOS PAC ID: 5193058923 Enrollment ID: I20200828001706 |
| Provider Name | Rebecca Dawn Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710529987 PECOS PAC ID: 2769809201 Enrollment ID: I20200831000267 |
| Provider Name | Jennifer Ladzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093197360 PECOS PAC ID: 2365850880 Enrollment ID: I20210422002067 |
| Provider Name | Andrea Marie Wittmier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164035010 PECOS PAC ID: 4284043126 Enrollment ID: I20210506000619 |
| Provider Name | Osadebamwen Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336798974 PECOS PAC ID: 3678714524 Enrollment ID: I20210604001391 |
| Provider Name | Miriam Aronoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407442734 PECOS PAC ID: 6901965672 Enrollment ID: I20210617002954 |
| Provider Name | Edward Seto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528448602 PECOS PAC ID: 0547572604 Enrollment ID: I20210712001181 |
| Provider Name | Victoria Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508217365 PECOS PAC ID: 0244564250 Enrollment ID: I20210913001514 |
| Provider Name | Joyce Ventura Quitugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755616 PECOS PAC ID: 5294133245 Enrollment ID: I20211006001475 |
| Provider Name | Dylan Berns Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083134019 PECOS PAC ID: 0143644674 Enrollment ID: I20211011000348 |
| Provider Name | Lori M Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063039345 PECOS PAC ID: 3375931835 Enrollment ID: I20211102002722 |
| Provider Name | Justin S Leas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184271348 PECOS PAC ID: 3971832411 Enrollment ID: I20211109003326 |
| Provider Name | Michael Alice Hemming |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1467984062 PECOS PAC ID: 7416280821 Enrollment ID: I20211201003035 |
| Provider Name | Katie Marie Lager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396417523 PECOS PAC ID: 4284020488 Enrollment ID: I20220414001401 |
| Provider Name | Kiera N Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902365877 PECOS PAC ID: 3476884578 Enrollment ID: I20220811003569 |
| Provider Name | Teresa Chung Downs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386104511 PECOS PAC ID: 9032445168 Enrollment ID: I20220815001166 |
| Provider Name | Cliff Ching Moeckelmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447772413 PECOS PAC ID: 9234465279 Enrollment ID: I20220821000138 |
| Provider Name | Brittany Dayle Padjen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831626696 PECOS PAC ID: 4486037660 Enrollment ID: I20220822000622 |
| Provider Name | Olivia Autumn Everitt |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1508585167 PECOS PAC ID: 8325423593 Enrollment ID: I20220923002704 |
| Provider Name | Ian Bojorquez Gillingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427555093 PECOS PAC ID: 2365867827 Enrollment ID: I20220927002939 |
| Provider Name | Arielle Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922664424 PECOS PAC ID: 9133457625 Enrollment ID: I20230113002385 |
| Provider Name | Venice Sy Riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841934536 PECOS PAC ID: 0446621916 Enrollment ID: I20230119001750 |
| Provider Name | Charlee Rhea Abboud |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1174152169 PECOS PAC ID: 0345641908 Enrollment ID: I20230809002277 |
| Provider Name | Marjut Kaarina Feltamo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801292453 PECOS PAC ID: 9830553999 Enrollment ID: I20230908000754 |
| Provider Name | Museong Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205440484 PECOS PAC ID: 2163877382 Enrollment ID: I20231009001050 |
| Provider Name | Tamera Alysa Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649953019 PECOS PAC ID: 7719334069 Enrollment ID: I20231108003495 |
| Provider Name | Tatyana Bernik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750062741 PECOS PAC ID: 5193172328 Enrollment ID: I20231109003002 |
| Provider Name | Joel David Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255967204 PECOS PAC ID: 4486072063 Enrollment ID: I20231113001908 |
| Provider Name | Ashley Marie Millette Cote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891322210 PECOS PAC ID: 2769800614 Enrollment ID: I20231121000232 |
| Provider Name | Iain Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043947989 PECOS PAC ID: 7012365653 Enrollment ID: I20231121001069 |
| Provider Name | Jennifer Ann Marie Gaines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932745767 PECOS PAC ID: 2163871963 Enrollment ID: I20231205002467 |
| Provider Name | Marcus Lavelle Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073271409 PECOS PAC ID: 5991154775 Enrollment ID: I20231206001890 |
| Provider Name | Marjorie Lindsey Lee Page |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831531664 PECOS PAC ID: 6901255918 Enrollment ID: I20231214003919 |
| Provider Name | Ann Marie Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386128460 PECOS PAC ID: 7113377102 Enrollment ID: I20240103003094 |
| Provider Name | Jaclyn Marie Savino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679923148 PECOS PAC ID: 2567813421 Enrollment ID: I20240105000000 |
| Provider Name | Heather Marie Thelaner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396149308 PECOS PAC ID: 5698126142 Enrollment ID: I20240109001795 |
| Provider Name | Karen Ann Landwehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417137399 PECOS PAC ID: 5395197370 Enrollment ID: I20240115001797 |
Tran Urgent Care & Wellness Centers Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 South, 38th Street, Suite B, Tacoma, WA 98418 Phone: 253-719-7767 Fax: 253-330-8646 | |
Sound Ltc Of California I Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Pacific Ave Ste 400, Tacoma, WA 98402 Phone: 615-577-6340 | |
Sea-mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-272-4125 | |
Thu V. Le, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 S 11th St, Suite 39, Tacoma, WA 98405 Phone: 253-627-6128 | |
Comprehensive Postacute Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422 Phone: 253-820-6757 | |
Multicare Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Empowered Health Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7808 Pacific Ave Ste 3, Tacoma, WA 98408 Phone: 253-503-6178 Fax: 253-240-0587 |