is a Federally Qualified Health Center (fqhc) in Ellensburg, Washington. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for is 1205046141. The last update date is .
's current location address is 521 E Mountain View Ave, Ellensburg, Washington. You can contact this provider via phone number 5099621414 and fax number 5099621408. The mailing address for is 521 E Mountain View Ave, Ellensburg, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 521 E Mountain View Ave, Ellensburg, Washington |
| Phone Number | 5099621414 |
| Fax Number | 5099621408 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205046141 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 521 E Mountain View Ave |
|---|---|
| City | Ellensburg |
| State | Washington (WA) |
| Post Code | 989263865 |
| Phone Number | 5099621414 |
| Fax Number | 5099621408 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7118276 | WA | -- | |
| 31820 | WA | LABOR AND INDUSTRIES |
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