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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