Organization
FAMILY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS HERNANDEZ (CEO)
(509) 422-7601
Entity
Organization
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-7674
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-7674
(509) 422-7668
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7060643
—
WA
Enumeration date
05/21/2021
Last updated
05/05/2026
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