HIGHLAND CLINIC
NPI 1700255874
Clinic/Center - Federally Qualified Health Center (FQHC) in Tieton, WA

Active since September 18, 2015CLIA 50D2108121 · Microscopy
915 WISCONSIN AVENUE, TIETON, WA 98947(509) 673-0044(509) 673-0054 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2020, Aug 22, 2018, Dec 8, 2017 (3 updates tracked since 2017).

About Highland Clinic NPPES

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

HIGHLAND CLINIC (NPI 1700255874) is a healthcare organization registered as a federally qualified health center (fqhc) in Tieton, Washington and active in the NPI registry since September 2015. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Angela Gonzalez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700255874
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH OF CENTRAL WASHINGTON
Location Address915 WISCONSIN AVENUETieton, WA 98947
Mailing Address501 S 5th AveYakima, WA 98902-3550 · (509) 494-6700 · Fax (509) 573-6275
Fax(509) 673-0054
Organization SubpartNo
Authorized OfficialAngela GonzalezCeo · (509) 494-6700
Enumeration DateSeptember 18, 2015
Last NPPES UpdateJuly 29, 20203 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1700255874 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 ListedClinic/CenterTaxonomy 261Q00000X
915 WISCONSIN AVENUE, Tieton, WA 98947

Other Names 1

Doing Business AsHighland Clinic

Other Identifiers 2

Medicaid901005WA
Other0031820WA · Labor And Industries

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) 50D2108121

Highland Clinic · Tieton, WA
Active · expires Apr 4, 2028
CLIA Number50D2108121
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 28, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDidi Ebert
Laboratory Phone(509) 673-0044
Laboratory LocationHighland Clinic915 Wisconsin Ave, Tieton, WA 98947
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Health Of Central Washington's NPI number?

The NPI number for Community Health Of Central Washington is 1700255874. It was assigned to this organization in the NPPES registry on September 18, 2015. The provider is doing business as Highland Clinic.

Where is Community Health Of Central Washington located?

Community Health Of Central Washington is located at 915 Wisconsin Avenue, Tieton, WA 98947. The listed phone number is (509) 673-0044.

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.

Does Community Health Of Central Washington hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2108121) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Health Of Central Washington was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.