COMMUNITY HEALTH CARE – NPI #1790762755
Clinic/Center

COMMUNITY HEALTH CARE is an AHC clinic located in TACOMA, WA. NPPES has assigned the NPI number 1790762755 to COMMUNITY HEALTH CARE on December 29, 2005. 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 Aug 19, 2025. 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 CARE below.

NPI Profile for
COMMUNITY HEALTH CARE

NPI Number
1790762755
Enumeration Date

(more than 20 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 CARE
Primary location
1148 BROADWAY STE 100
TACOMA, WA 98402
Phone: (253) 597-4550 Fax: (253) 597-4556
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID FLENTGE
CEO
Phone: (253) 597-4550
Updated
Certification Date
Aug 19, 2025

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 CARE

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
otherCLIAWA50D0635814
otherL & I, CVCWA8907871
medicaidWA1019032
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)
WA
251B00000X
- Case Management

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.