NPI | 1316484165 |
---|---|
Doing Business As | COASTAL FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2022-11-02 |