Organization
FAMILY HEALTH CENTERS
Active
Parent organization
FAMILY HEALTH CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS
Authorized official
JESUS HERNANDEZ (CEO)
(509) 422-5700
Entity
Organization
Contact information
Practice address
1015 COLUMBIA AVE, BRIDGEPORT, WA 98813
(509) 422-5700
(509) 422-7680
Mailing address
PO BOX 1340, OKANOGAN, WA 98840
(509) 422-5700
(509) 422-7680
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600625131
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G000354600
MEDICARE
WA
Enumeration date
12/18/2013
Last updated
01/19/2021
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