Cowlitz Family Health Center

LBN: Cowlitz Family Health Center
Cowlitz Family Health Center is an health care organization with primary practice located at 21610 Pacific Hwy , Ocean Park WA 98640. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Cowlitz Family Health Center can be contacted via phone (360) 665-3000, or through Coffee, James K via phone (360) 636-3892.

Contact Information

Primary practice address
21610 Pacific Hwy Ocean Park WA 98640
Phone: (360) 665-3000
Fax: (360) 665-3096
Website:
Map and Directions
Authorized official contact:
Name: Coffee, James K
Phone: (360) 636-3892

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Washington
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X Washington
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Washington
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1891856142
LBN Legal business name Cowlitz Family Health Center
DBA Doing business as
Authorized official Coffee, James K
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2006
Last updated May 24th, 2024 - about 6 months 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 1891856142 NPPES
Washington MEDICAID 7086523
Washington MEDICAID 7407349
Washington MEDICAID 1437359551

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