| NPI | 1225145105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY NEEDHAM CEO 509-547-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-01-11 |