| Organization Name: | COMMUNITY HEALTH CARE |
| NPI Number: | 1013135235 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID FLENTGE (CEO) |
| Mailing Address: | 10510 Gravelly Lake Dr Sw Lakewood |
| State: | WA US |
| Postal Code: | 984995036 |
| Phone Number: | 2535897030 |
| Fax Number: | 2535974556 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 05/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |