Healthcare Provider Details

I. General information

NPI: 1124230941
Provider Name (Legal Business Name): FAMILY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 1ST AVE
OKANOGAN WA
98840-9679
US

IV. Provider business mailing address

PO BOX 1340
OKANOGAN WA
98840-1340
US

V. Phone/Fax

Practice location:
  • Phone: 509-422-5700
  • Fax: 509-422-7680
Mailing address:
  • Phone: 509-422-5700
  • Fax: 509-422-7680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StateWA

VIII. Authorized Official

Name: MICHAEL HASSING
Title or Position: CEO
Credential: MBA
Phone: 509-422-5700