Organization
FAMILY HEALTH CENTERS
Active
Organization
FAMILY HEALTH CENTERS
Active
Parent organization
FAMILY HEALTH CENTERS
Other names
Brewster Medical Clinic
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
520 W INDIAN AVE, BREWSTER, WA 98812
(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
—
501949
MEDICARE/OSCAR CERTIFICATION
WA
Enumeration date
10/11/2012
Last updated
01/19/2021
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