Provider Demographics
NPI:1447629506
Name:CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Entity type:Organization
Organization Name:CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-663-8711
Mailing Address - Street 1:820 N CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2028
Mailing Address - Country:US
Mailing Address - Phone:509-665-7941
Mailing Address - Fax:509-662-2887
Practice Address - Street 1:2833 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-5915
Practice Address - Country:US
Practice Address - Phone:509-436-4018
Practice Address - Fax:509-662-2887
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROFESSIONAL PHARMACY STEMILT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-18
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X
WAPHAR.CF.605902393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy