Organization
MOSES LAKE COMMUNITY HEALTH CENTER
Active
Parent organization
MOSES LAKE COMMUNITY HEALTH CENTER
Other names
Quincy Student Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSES LAKE COMMUNITY HEALTH CENTER
Authorized official
SHEILA BERSCHAUER (CEO)
(509) 766-8971
Entity
Organization
Contact information
Practice address
403 JACKRABBIT ST NE, QUINCY, WA 98848-2008
(509) 787-8943
Mailing address
605 COOLIDGE DRIVE, MOSES LAKE, WA 98837
(509) 765-0674
(509) 764-0344
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016722
—
WA
Enumeration date
06/09/2021
Last updated
06/09/2021
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