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Organization
FAMILY HEALTH CENTERS
Active
Organization
FAMILY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS HERNANDEZ (CEO)
(509) 422-5700
Entity
Organization
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841
(509) 422-5700
(509) 422-7680
Mailing address
PO BOX 1340, 716 S 1ST AVE, OKANOGAN, WA 98840
(509) 422-7637
(509) 422-7692
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PHAR.CF.60114779
WA
3336C0002X
Clinic Pharmacy
Primary
PHAR.CF.60114779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6025837
—
WA
Enumeration date
12/07/2009
Last updated
04/14/2026
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