| Okanogan Farm Worker Clinic | |
|
525 W Jay Brewster WA 98812 | |
| (509) 422-5700 | |
| (509) 422-7680 |
| Full Name | Okanogan Farm Worker Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 W Jay, Brewster, 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 |
|---|---|
| Okanogan Farm Worker Clinic Po Box 1340 Okanogan WA 98840 Ph: (509) 422-5700 | Okanogan Farm Worker Clinic 525 W Jay Brewster WA 98812 Ph: (509) 422-5700 |
| NPI Number | 1629237482 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 9739076217 |
|---|---|
| Medicare Enrollment ID | O20081211000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629237482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600625131 (Washington) | Primary |
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