| NPI | 1871704783 |
|---|---|
| Other Name | CHAS HEALTH AT SHADLE PARK |
| Entity Type | Organization |
| Authorized Contact | NATHAN HALVORSON Corporate Compliance Officer 509-444-8888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-09-17 |