Community Health Care in Tacoma - Federally Qualified Health Center (fqhc)
Community Health Care - NPI 1790762755
Community Health Care is a Federally Qualified Health Center (fqhc) in Tacoma, Washington. Community Health Care practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Care is 1790762755. The last update date is 2019-06-07.
Community Health Care's current location address is 1148 Broadway Ste 100, Tacoma, Washington. You can contact this provider via phone number 2535974550 and fax number 2535974556. The mailing address for Community Health Care is 1148 Broadway Ste 100, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health Care |
|---|---|
| Address | 1148 Broadway Ste 100, Tacoma, Washington |
| Phone Number | 2535974550 |
| Fax Number | 2535974556 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Flentge David |
| Telephone Number | 2535974550 |
NPI Number Detail
| NPI Number | 1790762755 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2019-06-07 |
Provider Mailing Address Detail
| Address | 1148 Broadway Ste 100 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984023518 |
| Phone Number | 2535974550 |
| Fax Number | 2535974556 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1019032 | WA | -- | |
| 50D0635814 | WA | CLIA | |
| 8907871 | WA | L & I, CVC |
Post Comment/ Review Below
What is the unique identification code assigned to Community Health Care by the Centers for Medicare & Medicaid Services?
The Community Health Care has been issued the NPI (National Provider Identifier) 1790762755. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Community Health Care is located?
The Community Health Care is situated at the following address: 1148 Broadway Ste 100, Tacoma, WA, 984023518.
What is Community Health Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Health Care's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Community Health Care receive its 1790762755 assignment from the Centers for Medicare & Medicaid Services?
The Community Health Care was assigned its 1790762755 by the Centers for Medicare & Medicaid Services on 2005-12-29.
When was the information pertaining to Community Health Care most recently updated or revised?
The details related to Community Health Care, including its address, specialty, and other relevant information, were last updated or revised on 2019-06-07.