Cowlitz Family Health Center is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ocean Park, Washington. The current practice location for Cowlitz Family Health Center is 21610 Pacific Hwy, Ocean Park, Washington. For appointments, you can reach them via phone at
(360) 665-3000. The mailing address for Cowlitz Family Health Center is 1057 12th Ave, Longview, Washington and phone number is (360) 636-3892.
Cowlitz Family Health Center is licensed to practice in Washington (license number ). The clinic also participates in the medicare program and its
NPI number is 1891856142. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(360) 665-3000.
Dental Care Clinic Profile
| Full Name | Cowlitz Family Health Center |
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| Speciality | Clinic/Center |
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| Location | 21610 Pacific Hwy, Ocean Park, Washington |
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| Authorized Official Name and Position | James K Coffee (CEO) |
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| Authorized Official Contact | 3606363892 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Cowlitz Family Health Center
1057 12th Ave
Longview
WA 98632-2509
Ph: (360) 636-3892 | Cowlitz Family Health Center
21610 Pacific Hwy
Ocean Park
WA 98640
Ph: (360) 665-3000 |
NPI Details:
| NPI Number | 1891856142 |
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| Provider Enumeration Date | 12/12/2006 |
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| Last Update Date | 05/24/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5991696395 |
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| Medicare Enrollment ID | O20040825000841 |
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Medical Identifiers
Medical identifiers for Cowlitz Family Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891856142 | NPI | - | NPPES |
| 7086523 | Medicaid | WA | |
| 7407349 | Medicaid | WA | |
| 1437359551 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QD0000X | Clinic/center - Dental | (Washington) | Secondary |
| 261QF0050X | Clinic/center - Family Planning, Non-surgical | (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Washington) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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