Moses Lake Community Health Center
Organization Active NPI Dental Clinic/Center · Moses Lake, WA
NPI 1386858652 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1386858652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- MOSES LAKE COMMUNITY HEALTH CENTER
- Practice address
- 605 S Coolidge St
Moses Lake, WA 98837-1893 - Phone
- (509) 765-0674
- Fax
- (509) 765-6591
- NPI assigned
- May 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Sheila A Chilson
- Title
- Cfo
- Phone
- (509) 765-0674
Corporate family (same tax ID) 11
Practitioners 1
-
Andrew Paullin Johnson, D.M.D.
National Provider Directory
- Tax ID family
- Moses Lake Comm HLTH CNTR
Locations
457 1st Ave NW
Ephrata, WA 98823
Phone (509) 754-6199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 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) 765-0674
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5018296 | Medicaid | WA |
Other providers in Moses Lake, WA
- 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
- Moses Lake Community Health Center
- Moses Lake Community Health Center
All providers in Moses Lake, 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 Aug 22, 2020. 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.