Family Health Center 14Th Ave
LBN: Cowlitz Family Health Center
Family Health Center 14Th Ave is an health care organization with primary practice located at 784 14Th Ave , Longview WA 98632-2315. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, 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) 703-6400, or through Coffee, James K via phone (360) 636-3892.
Contact Information
Primary practice address
784 14Th Ave
Longview WA 98632-2315
Phone: (360) 703-6400
Fax: (360) 353-3611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | 600176084 | Washington |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 600176084 | Washington |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 600176084 | Washington |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 600176084 | Washington |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 600176084 | Washington |
Profile Details
| NPI number | 1962876748 |
|---|---|
| LBN Legal business name | Cowlitz Family Health Center |
| DBA Doing business as | Family Health Center 14Th Ave |
| Authorized official | Coffee, James K |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 17th, 2015 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962876748 | NPPES |
| Washington | MEDICAID | 7086523 | |
| Washington | MEDICAID | 1437359551 |
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