Organization
COWLITZ FAMILY HEALTH CENTER
Active
Parent organization
COWLITZ FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COWLITZ FAMILY HEALTH CENTER
Authorized official
JAMES COFFEE (CEO)
(360) 636-3892
Entity
Organization
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1114
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1114
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7407349
—
WA
Enumeration date
07/11/2007
Last updated
05/31/2022
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