# MOSES LAKE COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOSES LAKE COMMUNITY HEALTH CENTER
- **Other names:** Quincy Student Health and Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730756644
- **Legal business name:** MOSES LAKE COMMUNITY HEALTH CENTER
- **Authorized official:** SHEILA BERSCHAUER (CEO)
- **Authorized official phone:** (509) 766-8971

## Contact information

- **Practice address:** 403 JACKRABBIT ST NE, QUINCY, WA 98848-2008
- **Practice address phone:** (509) 787-8943
- **Mailing address:** 605 COOLIDGE DRIVE, MOSES LAKE, WA 98837
- **Mailing address phone:** (509) 765-0674
- **Mailing address fax:** (509) 764-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 06/09/2021