National Provider Identifier Database

MOSES LAKE COMMUNITY HEALTH CENTER
Student Health


Contact Information

MOSES LAKE COMMUNITY HEALTH CENTER
403 JACKRABBIT ST NE
QUINCY, WA98848-2008
Phone: 509-787-8943
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for MOSES LAKE COMMUNITY HEALTH CENTER

NPI Number 1730756644
Legal business name
LBN
MOSES LAKE COMMUNITY HEALTH CENTER
Authorized official SHEILA BERSCHAUER - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 06/09/2021
Last updated 06/09/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 1016722

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MOSES LAKE COMMUNITY HEALTH CENTER

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