COWLITZ FAMILY HEALTH CENTER – NPI #1891856142
Clinic/Center

COWLITZ FAMILY HEALTH CENTER is an AHC clinic located in OCEAN PARK, WA. NPPES has assigned the NPI number 1891856142 to COWLITZ FAMILY HEALTH CENTER on December 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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)

The NPI profile was previously updated about 2 years ago on May 24, 2024. 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 COWLITZ FAMILY HEALTH CENTER below.

NPI Profile for
COWLITZ FAMILY HEALTH CENTER

NPI Number
1891856142
Enumeration Date

(more than 19 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
Primary location
21610 PACIFIC HWY
OCEAN PARK, WA 98640
Phone: (360) 665-3000 Fax: (360) 665-3096
Mailing address
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone: (360) 636-3892 Fax: (360) 414-1114
Organization Subpart
Yes - COWLITZ FAMILY HEALTH CENTER is subpart of another organization.
Authorized Official
JAMES COFFEE
CEO
Phone: (360) 636-3892
Updated
Certification Date
May 24, 2024

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 COWLITZ FAMILY HEALTH CENTER

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
medicaidWA7407349
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.