Family Health Center Castle Rock Clinic

LBN: Cowlitz Family Health Center
Family Health Center Castle Rock Clinic is an health care organization with primary practice located at 139 1St Ave Sw , Castle Rock WA 98611. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Cowlitz Family Health Center can be contacted via phone (360) 274-2353, or through Coffee, James K via phone (360) 636-3892.

Contact Information

Primary practice address
139 1St Ave Sw Castle Rock WA 98611
Phone: (360) 274-2353
Fax: (360) 274-7439
Website:
Map and Directions
Authorized official contact:
Name: Coffee, James K
Phone: (360) 636-3892

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X 600176084 Washington
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 600176084 Washington
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 600176084 Washington
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 600176084 Washington
Ambulatory Health Care Facilities / Primary Care 261QP2300X 600176084 Washington

Profile Details

NPI number 1801266481
LBN Legal business name Cowlitz Family Health Center
DBA Doing business as Family Health Center Castle Rock Clinic
Authorized official Coffee, James K
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 25th, 2015
Last updated May 31st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801266481 NPPES
Washington MEDICAID 1437359551
Washington MEDICAID 7086523
Washington MEDICAID 7900426

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