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NPI 1497205652
● Active Type 2 · Organization
Community Health Association Of Spokane
Clinic/Center · Moscow, ID · NPI 1497205652
·
Enumerated 2016 · 9 years on NPI
Community Health Association Of Spokane is 1 of 157 clinic/center organizations in Idaho.
NPI age
9 years
Enumerated 2016-10-11
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Halvorson
Chief Compliance Officer
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 157 active clinic/center providers in Idaho.
NPI age
9 years
≈ at median (8 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 82% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-10 Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
803 S Main St Ste 120
Moscow, ID 83843
📞 2088488300 fax 2088825587
Mailing address
731 N Iron Bridge Way
Spokane, WA 992024926
📞 5094448888
Additional practice locations
1 secondary location on file with NPPES.
Location 2
719 S Main St
Moscow, ID 838433041
📞 2088488300
Authorized official
Nathan Halvorson
Chief Compliance Officer
📞 5094448888
Individual providers at this organization
19 individual providers on file at this primary practice address.
Morgan Bond , LMSW
Social Worker
NPI 1699465674
Amanda Burks
Physician Assistant
NPI 1699305185
Heather Crawford
Dental Hygienist
NPI 1366296139
Trang Doan , DDS
Dentist
NPI 1659825073
Dennis Falen , PA-C
Physician Assistant
NPI 1528501475
Kimberly Hassler , M.D.
Family Medicine
NPI 1629100870
David Keene , LCSW
Social Worker
NPI 1912162140
Selam Kiflemichael , PHARMACIST
Pharmacist
NPI 1386112472
Carmen Koepl
Dental Hygienist
NPI 1073095501
Matthew Lassen , PA-C
Physician Assistant
NPI 1932599214
Tina Overstreet , SUDP
Counselor
NPI 1063854107
Jesse Rapp
Pharmacist
NPI 1710312178
Matthew Rice , DO
Family Medicine
NPI 1073614160
Dan Schmidt , MD
Family Medicine
NPI 1619936549
Heather Shannon , LMSW
Social Worker
NPI 1659052660
Austin Sorensen , PHARMD
Pharmacist
NPI 1497303879
Keri Sullivan-Walker , PHARMD
Pharmacist
NPI 1043544331
Ashley Tadehara
Dental Hygienist
NPI 1366085847
Heather Weddle , PHARMD
Pharmacist
NPI 1245226570
Specialties
Clinic/Center
Primary
Definition to come...
taxonomy 261QF0400X
Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
taxonomy 122300000X
Identifiers
Type Value Notes
01 (ID)
1369012
MEDICARE PART B PTAN
Practice context
Multi-provider organization.
19 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.