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Moses Lake Community Health Center
Student Health Clinic/Center in Quincy, Washington
NPI 1730756644

Moses Lake Community Health Center is a Student Health Clinic/Center based in Moses Lake, WA and is specialized in Student Health. Moses Lake Community Health Center practices in Quincy, WA. The NPI Number for Moses Lake Community Health Center is 1730756644 and holds a License No. (Washington).

The current practice location address for Moses Lake Community Health Center is 403 Jackrabbit St Ne, Quincy, WA and can be reached out via phone at 509-787-8943.

Location: 403 Jackrabbit St Ne, Quincy, WA, 98837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730756644
Provider Name
Moses Lake Community Health Center
Credential
Provider Entity Type
Organization
Address
403 Jackrabbit St Ne, Quincy, WA, 98837
Phone Number
509-787-8943
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1016722 05 WA
institution
Provider Business Practice Location Address Details
Address
403 Jackrabbit St Ne
City
Quincy
State
Washington
Zip
98848-2008
Phone Number
509-787-8943
Fax Number
person
Provider Business Mailing Address Details
Address
403 Jackrabbit St Ne
City
Quincy
State
Washington
Zip
98848-2008
Phone Number
509-787-8943
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
()
Definition
Definition to come...
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