COMMUNITY HEALTH ASSOCIATION OF SPOKANE
NPI 1497205652
Clinic/Center - Federally Qualified Health Center (FQHC) in Moscow, ID

Q: What is Community Health Association Of Spokane'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 October 11, 2016

803 S MAIN ST STE 120, MOSCOW, ID 83843(208) 848-8300(208) 882-5587 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, Jan 3, 2025, Jul 22, 2019 and 2 more (5 updates tracked since 2016).

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About Community Health Association Of Spokane NPPES

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

COMMUNITY HEALTH ASSOCIATION OF SPOKANE (NPI 1497205652) is a healthcare organization registered as a federally qualified health center (fqhc) in Moscow, Idaho and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Moscow and lists Nathan Halvorson, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1497205652

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY HEALTH ASSOCIATION OF SPOKANE

Location Address803 S MAIN ST STE 120Moscow, ID 83843

Mailing Address731 N Iron Bridge WaySpokane, WA 99202-4926 · (509) 444-8888

Phone(208) 848-8300

Fax(208) 882-5587

Organization SubpartNo

Authorized OfficialNathan HalvorsonChief Compliance Officer · (509) 444-8888

Enumeration DateOctober 11, 2016

Last NPPES UpdateJanuary 5, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1497205652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code261QF0400X

Also ListedDentistTaxonomy 122300000X

803 S MAIN ST STE 120, Moscow, ID 83843

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Secondary Practice Location 1

Location 1719 S Main StMoscow, ID 83843-3041 · Phone (208) 848-8300

Other Identifiers 1

Other1369012ID · Medicare Part B Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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.

DR. KERI NOEL SULLIVAN-WALKER PHARMD

Pharmacist