COMMUNITY HEALTH ASSOCIATION OF SPOKANE – NPI #1497205652
Clinic/Center

COMMUNITY HEALTH ASSOCIATION OF SPOKANE is an AHC clinic located in MOSCOW, ID. NPPES has assigned the NPI number 1497205652 to COMMUNITY HEALTH ASSOCIATION OF SPOKANE on October 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Jan 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY HEALTH ASSOCIATION OF SPOKANE below.

NPI Profile for
COMMUNITY HEALTH ASSOCIATION OF SPOKANE

NPI Number
1497205652
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Primary location
803 S MAIN ST STE 120
MOSCOW, ID 83843
Phone: (208) 848-8300 Fax: (208) 882-5587
1 Other location(s):
719 S Main St
Moscow, ID 83843-3041
Phone: (208) 848-8300
Mailing address
731 N IRON BRIDGE WAY
SPOKANE, WA 99202-4926
Phone: (509) 444-8888 Fax:
Organization Subpart
No
Authorized Official
NATHAN HALVORSON
CHIEF COMPLIANCE OFFICER
Phone: (509) 444-8888
Updated
Certification Date
Jan 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PART B PTANID1369012
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
122300000X
- Dentist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.