Provider Demographics
NPI:1881642239
Name:CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Entity Type:Organization
Organization Name:CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Other - Org Name:CONFLUENCE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
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 1:1201 MILLER STREET
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3201
Mailing Address - Country:US
Mailing Address - Phone:509-662-1511
Mailing Address - Fax:509-665-6081
Practice Address - Street 1:1201 S MILLER ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3201
Practice Address - Country:US
Practice Address - Phone:509-662-1511
Practice Address - Fax:509-665-6081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-05
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA81780OtherL & I
WA7066699Medicaid
WA8919703OtherL & I CRIME VICTIMS
WA8919703OtherL & I CRIME VICTIMS
WA81780OtherL & I
WA7066699Medicaid