Moses Lake Community Health Center
LBN: Moses Lake Community Health Center
Moses Lake Community Health Center is an health care organization with primary practice located at 403 Jackrabbit St Ne , Quincy WA 98848-2008. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Student Health is the primary health care specialty.
Moses Lake Community Health Center can be contacted via phone (509) 787-8943, or through Berschauer, Sheila via phone (509) 766-8971.
Contact Information
Primary practice address
403 Jackrabbit St Ne
Quincy WA 98848-2008
Phone: (509) 787-8943
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
| NPI number | 1730756644 |
|---|---|
| LBN Legal business name | Moses Lake Community Health Center |
| DBA Doing business as | |
| Authorized official | Berschauer, Sheila |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 9th, 2021 |
| Last updated | Jun 9th, 2021 - about 4 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 | 1730756644 | NPPES |
| Washington | MEDICAID | 1016722 |
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