MEDICARE: OPERATION HEALTHY FAMILY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1881279685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPERATION HEALTHY FAMILY

Provider Business Mailing Address
First Line	:	3009 S MOUNT VERNON ST STE 1
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-4777
Country	:	US
Telephone Number	:	509-443-4409
Fax Number	:

Provider Business Practice Location Address
First Line	:	2607 S SOUTHEAST BLVD STE B210
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-7614
Country	:	US
Telephone Number	:	509-443-4409
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	PAULA WILLIAMS
Credential	:	EFDA
Telephone Number	:	509-443-4409

Provider Enumeration Date	:	03/12/2021
Last Update Date	:	11/08/2024

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Directions to “OPERATION HEALTHY FAMILY ” Practice Location

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