| Family Health Centers | |
|
1400 Tacoma Avenue Bridgeport WA 98813 | |
| (509) 422-5700 | |
| (509) 422-7680 |
| Full Name | Family Health Centers |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1400 Tacoma Avenue, Bridgeport, Washington |
| Authorized Official Name and Position | Jesus Hernandez (CEO) |
| Authorized Official Contact | 5094227601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers Po Box 1340 Okanogan WA 98840-1340 Ph: (509) 422-7674 | Family Health Centers 1400 Tacoma Avenue Bridgeport WA 98813 Ph: (509) 422-5700 |
| NPI Number | 1609584697 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609584697 | NPI | - | NPPES |
| 7060643 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Columbia Ave, Bridgeport, WA 98813 Phone: 509-422-5700 Fax: 509-422-7680 | |
Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Columbia Avenue, Bridgeport, WA 98813 Phone: 800-660-2129 |