Family Health Centers Dental
Organization Active NPI Dental Clinic/Center · Okanogan, WA
NPI 1235211673 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1235211673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 600625131 (WA)
- Legal business name
- FAMILY HEALTH CENTERS DENTAL
- Practice address
- 626 Second Ave S
Okanogan, WA 98840-9679 - Phone
- (509) 422-6705
- Fax
- (509) 422-6708
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Jesus Hernandez
- Title
- Ceo
- Phone
- (509) 422-5700
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Family Health Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 600625131 | WA | Yes |
Addresses
Primary practice location
626 Second Ave S
Okanogan, WA 98840-9679
Mailing address
PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5022199 | Medicaid | WA |
Other names
- OKANOGAN FARM WORKERS CLINIC
Other providers in Okanogan, WA
- Family Health Centers
- Family Health Centers
- Family Health Centers
- Family Health Centers
- Family Health Centers
- Family Health Centers Omak
- Jessica Marie Fodge
- Teresa Rene Good
- Grace Medical Supply LLC
- Theodore Graham
All providers in Okanogan, WA · Dental Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. 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.