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Cowlitz Family Health Center
Primary Care Clinic/Center in Kelso, Washington
NPI 1366790008

Cowlitz Family Health Center is a Primary Care Clinic/Center based in Longview, WA and is specialized in Primary Care. Cowlitz Family Health Center practices in Kelso, WA. The NPI Number for Cowlitz Family Health Center is 1366790008 and holds a License No. 600176084 (Washington).

The current practice location address for Cowlitz Family Health Center is 300 Oak St Ste B, Kelso, WA and can be reached out via phone at 360-353-5511 and via fax at 360-353-5502.

Location: 300 Oak St Ste B, Kelso, WA, 98632-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366790008
Provider Name
Cowlitz Family Health Center
Credential
Provider Entity Type
Organization
Address
300 Oak St Ste B, Kelso, WA, 98632-2509
Phone Number
360-353-5511
Fax Number
360-353-5502
Provider Enumeration Date
08/28/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7900426 05 WA
1437359551 05 WA
institution
Provider Business Practice Location Address Details
Address
300 Oak St Ste B
City
Kelso
State
Washington
Zip
98626-2304
Phone Number
360-353-5511
Fax Number
360-353-5502
person
Provider Business Mailing Address Details
Address
300 Oak St Ste B
City
Kelso
State
Washington
Zip
98626-2304
Phone Number
360-353-5511
Fax Number
360-353-5502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Family Planning, Non-Surgical
Taxonomy
261QF0050X
License No.
600176084 (Washington)
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
600176084 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
600176084 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
600176084 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
600176084 (Washington)
Definition
Definition to come...
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