Moses Lake Community Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Moses Lake, WA
NPI 1003395187 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1003395187
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- PHHC.FX.60660516 (WA)
- Legal business name
- MOSES LAKE COMMUNITY HEALTH CENTER
- Practice address
- 605 S Coolidge St
Moses Lake, WA 98837-1893 - Phone
- (509) 764-0674
- Fax
- (509) 764-0344
- NPI assigned
- Aug 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Sheila Chilson
- Title
- Ceo
- Phone
- (509) 766-8971
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Moses Lake Comm HLTH CNTR
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | PHHC.FX.60660516 | WA | Yes |
Addresses
Primary practice location
605 S Coolidge St
Moses Lake, WA 98837-1893
Mailing address
605 S Coolidge St
Moses Lake, WA 98837-1893
Phone (509) 764-0674
Other providers in Moses Lake, WA
- Paula Renee Moreno
- Clifford W Morgan
- Linda Lee Morgan
- Moses Lake
- Moses Lake Chiropractic Center PS
- Moses Lake Community Health Center
- Moses Lake Community Health Center
- Moses Lake Community Health Center
- Moses Lake Community Health Center
- Moses Lake Community Health Center
All providers in Moses Lake, WA · Federally Qualified Health Center (FQHC) in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.