Cowlitz Family Health Center

LBN: Cowlitz Family Health Center
Cowlitz Family Health Center is an health care organization with primary practice located at 1057 12Th Ave , Longview WA 98632-2509. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Cowlitz Family Health Center can be contacted via phone (360) 636-3892, or through Coffee, James via phone (360) 636-3892.

Contact Information

Primary practice address
1057 12Th Ave Longview WA 98632-2509
Phone: (360) 636-3892
Fax: (360) 414-1114
Website:
Map and Directions
Authorized official contact:
Name: Coffee, James
Phone: (360) 636-3892

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1184824203
LBN Legal business name Cowlitz Family Health Center
DBA Doing business as
Authorized official Coffee, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated May 31st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184824203 NPPES
Washington MEDICAID 5033980 DENTAL

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