Organization
FAMILY HEALTH CENTERS
Active
Organization
FAMILY HEALTH CENTERS
Active
Other names
OKANOGAN FARM WORKERS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS HERNANDEZ (INTERM CEO)
(509) 422-7601
Entity
Organization
Contact information
Practice address
716 FIRST AVENUE SOUTH, OKANOGAN, WA 98840-9679
(509) 422-5700
(509) 422-7680
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(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
—
1184883449
MEDICARE
WA
01
—
1306005715
MEDICARE
WA
01
—
1497176390
MEDICARE
WA
01
—
1609804392
MEDICARE
WA
01
—
1629237482
MEDICARE
WA
01
—
1821340092
MEDICARE
WA
01
—
501836
PTAN
WA
01
—
501837
PTAN
WA
01
—
501949
MEDICARE PTAN
WA
01
—
501968
MEDICARE PTAN
WA
05
—
7060643
—
WA
01
—
801838
PTAN
WA
01
—
C03341
MEDICARE PTAN
WA
01
—
G000354600
MEDICARE PTAN
WA
Enumeration date
06/29/2006
Last updated
01/19/2021
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