MOSES LAKE COMMUNITY HEALTH CENTER; NPI #1730756644

Contact Information

MOSES LAKE COMMUNITY HEALTH CENTER

403 JACKRABBIT ST NE
QUINCY, WA 98848-2008

Phone: 509-787-8943
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Student Health	261QS1000X
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for MOSES LAKE COMMUNITY HEALTH CENTER

NPI Number 1730756644

LBN Legal business name MOSES LAKE COMMUNITY HEALTH CENTER

Authorized official SHEILA BERSCHAUER - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/09/2021

Last updated 06/09/2021 - About 5 years ago

Identifiers

Medicaid

1016722

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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