COWLITZ FAMILY HEALTH CENTER NPI 1104243534

NPI Information

NPI: 1104243534
Provider Name: COWLITZ FAMILY HEALTH CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
621 GRADE ST
KELSO, WA
ZIP 98626
Phone: (360) 636-3892
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COWLITZ FAMILY HEALTH CENTER is a rehabilitation and substance use disorder clinic center in Kelso, WA. COWLITZ FAMILY HEALTH CENTER NPI is 1104243534. The provider is registered as an organization entity type.

The provider's business location address is:

621 GRADE ST
KELSO, WA
ZIP 98626-606
Phone: (360) 636-3892
Fax: (360) 232-8400

The provider's authorized official is James J Coffee .
The authorized official title is Ceo and has the following contact phone number (360) 636-3892.

The enumeration date for this NPI number is 3/24/2014 and was last updated on 5/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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