Community Health of Central Washington-Ellensburg – Federally Qualified Health Center (FQHC), NPI 1205046141

Community Health of Central Washington-Ellensburg is a healthcare provider. based in Yakima, Washington. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Community Health of Central Washington-Ellensburg is 1205046141

Main info

Organization
Name
Community Health of Central Washington-Ellensburg
NPI
1205046141
Phone
(509) 494-6700
Address
501 S 5TH AVE
Authorized Official
ANGELA GONZALEZ CEO
Enumeration Date
22 May 2007
Last Update Date
29 July 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Community Health of Central Washington-Ellensburg

  • 501, South 5th Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989023550

    Phone: (509) 494-6700

    Fax: (509) 573-6275

    Type: Mailing

  • East Mountain View Avenue, Ellensburg, Kittitas County, Washington, 98926, United States

    ELLENSBURG, WA 989263865

    Phone: (509) 962-1414

    Fax: (509) 962-1408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20071114000492OFederally Qualified Health Center (Fqhc)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98902)

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Reviews

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Frequently asked questions

Can I verify Community Health of Central Washington-Ellensburg with an NPI only?
You can start verification with NPI 1205046141 for Community Health of Central Washington-Ellensburg, then check state licensing separately.
Can I rely on Community Health of Central Washington-Ellensburg being an active provider?
As of the registry snapshot, Community Health of Central Washington-Ellensburg is marked active.
What is Community Health of Central Washington-Ellensburg's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for Community Health of Central Washington-Ellensburg here. Clinical services aligned with this taxonomy classification.
What area does Community Health of Central Washington-Ellensburg serve?
Community Health of Central Washington-Ellensburg's listing highlights Yakima, Washington; more addresses can appear in NPPES.
Why does Community Health of Central Washington-Ellensburg have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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