Organization
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
Active
Other names
Mattawa Community Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANA S FOX (CEO)
(509) 932-4499
Entity
Organization
Contact information
Practice address
206 GOVERNMENT RD, MATTAWA, WA 99349-5116
(509) 932-4499
(509) 932-5363
Mailing address
210 GOVERNMENT RD, MATTAWA, WA 99349-5116
(509) 932-4499
(509) 932-5363
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
12/04/2024
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