# MOSES LAKE COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568507671
- **Authorized official:** MS. SHEILA A CHILSON (CFO)
- **Authorized official phone:** (509) 765-0674

## Contact information

- **Practice address:** 605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
- **Practice address phone:** (509) 765-0674
- **Practice address fax:** (509) 765-6591
- **Mailing address:** 605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
- **Mailing address phone:** (509) 765-0674
- **Mailing address fax:** (509) 765-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | CF00056451 | WA | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6022420 | — | WA |