| Family Health Centers | |
|
1015 Columbia Ave Bridgeport WA 98813 | |
| (509) 422-5700 | |
| (509) 422-7680 |
| Full Name | Family Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1015 Columbia Ave, Bridgeport, Washington |
| Authorized Official Name and Position | Jesus Hernandez (CEO) |
| Authorized Official Contact | 5094225700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers Po Box 1340 Okanogan WA 98840 Ph: (509) 422-5700 | Family Health Centers 1015 Columbia Ave Bridgeport WA 98813 Ph: (509) 422-5700 |
| NPI Number | 1497176390 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 9739076217 |
|---|---|
| Medicare Enrollment ID | O20140422002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497176390 | NPI | - | NPPES |
| G000354600 | Other | WA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600625131 (Washington) | Primary |
Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Columbia Avenue, Bridgeport, WA 98813 Phone: 800-660-2129 | |
Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Tacoma Avenue, Bridgeport, WA 98813 Phone: 509-422-5700 Fax: 509-422-7680 |