COMMUNITY HEALTH OF CENTRAL WASHINGTON-ELLENSBURG
NPI 1205046141
Clinic/Center - Federally Qualified Health Center (FQHC) in Ellensburg, WA

Q: What is Community Health Of Central Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 22, 2007CLIA 50D0963184 · Microscopy

521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926(509) 962-1414(509) 962-1408 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2020, Oct 3, 2019, Sep 9, 2019 and 1 more (4 updates tracked since 2018).

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About Community Health Of Central Washington-ellensburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH OF CENTRAL WASHINGTON-ELLENSBURG (NPI 1205046141) is a healthcare organization registered as a federally qualified health center (fqhc) in Ellensburg, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Angela Gonzalez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205046141

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY HEALTH OF CENTRAL WASHINGTON

Location Address521 E MOUNTAIN VIEW AVEEllensburg, WA 98926-3865

Mailing Address501 S 5th AveYakima, WA 98902-3550 · (509) 494-6700 · Fax (509) 573-6275

Phone(509) 962-1414

Fax(509) 962-1408

Organization SubpartNo

Authorized OfficialAngela GonzalezCeo · (509) 494-6700

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 29, 20204 updates tracked since enumeration

NPPES CertifiedJuly 29, 2020

✔ NPI 1205046141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

521 E MOUNTAIN VIEW AVE, Ellensburg, WA 98926

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Other Names 1

Doing Business AsCommunity Health Of Central Washington-ellensburg

Other Identifiers 2

Other31820WA · Labor And Industries

Medicaid7118276WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0963184

Community Health Of Central Washington · Ellensburg, WA

Active · expires Apr 4, 2028

CLIA Number50D0963184

Laboratory TypePhysician Office

Certificate Effective DateMarch 24, 2004

Certificate Expiration DateApril 4, 2028

Laboratory DirectorDidi Ebert

Laboratory Phone(509) 962-1414

Laboratory LocationCommunity Health Of Central Washington521 E Mountain View Ave, Ellensburg, WA 98926

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTA A BUUM PA-C

Physician Assistant