| Cowlitz Family Health Center | |
|
1057 12th Ave Longview WA 98632-2509 | |
| (360) 636-3892 | |
| (360) 414-1114 |
| Full Name | Cowlitz Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1057 12th Ave, Longview, Washington |
| Authorized Official Name and Position | James Coffee (CEO) |
| Authorized Official Contact | 3606363892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowlitz Family Health Center 1057 12th Ave Longview WA 98632-2509 Ph: (360) 636-3892 | Cowlitz Family Health Center 1057 12th Ave Longview WA 98632-2509 Ph: (360) 636-3892 |
| NPI Number | 1700086824 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700086824 | NPI | - | NPPES |
| 7900426 | Medicaid | WA | FP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lance D Brigman, Md, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Fir St, Longview, WA 98632 Phone: 360-423-6110 Fax: 360-423-8078 | |
Cowlitz Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-636-3892 Fax: 360-414-1114 | |
Prov Peds Neurology Longview Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 | |
Longview Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 11th Ave, Longview, WA 98632 Phone: 360-423-6626 Fax: 360-423-6626 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1146 14th Ave, Longview, WA 98632 Phone: 877-522-1275 Fax: 509-491-3031 | |
Kidspace Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2145 Tibbetts Dr Ste A, Longview, WA 98632 Phone: 360-560-1972 Fax: 360-703-3452 | |
Cowlitz Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-636-3892 Fax: 360-414-1114 |