FAMILY HEALTH CENTER CASTLE ROCK CLINIC – NPI #1801266481
Clinic/Center

FAMILY HEALTH CENTER CASTLE ROCK CLINIC is an AHC clinic located in CASTLE ROCK, WA. NPPES has assigned the NPI number 1801266481 to FAMILY HEALTH CENTER CASTLE ROCK CLINIC on September 25, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY HEALTH CENTER CASTLE ROCK CLINIC” is a dba name, the actual legal business name for this organization is COWLITZ FAMILY HEALTH CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on May 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY HEALTH CENTER CASTLE ROCK CLINIC below.

NPI Profile for
COWLITZ FAMILY HEALTH CENTER

NPI Number
1801266481
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COWLITZ FAMILY HEALTH CENTER
Doing Business As (dba): FAMILY HEALTH CENTER CASTLE ROCK CLINIC
Primary location
139 1ST AVE SW
CASTLE ROCK, WA 98611
Phone: (360) 274-2353 Fax: (360) 274-7439
Mailing address
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone: (360) 636-3892 Fax: (360) 232-8400
Organization Subpart
Yes - FAMILY HEALTH CENTER CASTLE ROCK CLINIC is subpart of another organization.
Authorized Official
JAMES COFFEE
CEO
Phone: (360) 636-3892
Updated
Certification Date
May 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAMILY HEALTH CENTER CASTLE ROCK CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA1437359551
MEDICAIDWA7086523
MEDICAIDWA7900426
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.