Organization
EPHRATA COMMUNITY DENTAL CLINIC
Active
Parent organization
MOSES LAKE COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSES LAKE COMMUNITY HEALTH CENTER
Authorized official
SHEILA CHILSON (CEO)
(509) 766-8971
Entity
Organization
Contact information
Practice address
204 12TH AVE SW, EPHRATA, WA 98823-2197
(509) 754-6199
Mailing address
605 COOLIDGE DRIVE, MOSES LAKE, WA 98837
(509) 754-6199
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
PHHC.FX.60660507
WA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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