FAMILY HEALTH CENTERS (NPI# 1821340092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821340092 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS |
| Other Organization Name | BREWSTER MEDICAL CLINIC |
| Practice Address |
520 W Indian Ave Brewster WA 98812 |
| Mailing Address |
Po Box 1340 Okanogan WA 98840 |
| Practice Telephone | 5094225700 |
| Practice Fax Number | 5094227680 |
| Mailing Telephone | 5094225700 |
| Mailing Fax Number | 5094227680 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2017-06-23 |
| Authorized Official Name | JESUS HERNANDEZ (CEO) |
| Authorized Official Telephone | 5094225700 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
600625131 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE/OSCAR CERTIFICATION | 501949 | 01 |
| Other Name | Type Code |
|---|---|
| Brewster Medical Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871904649 | Family Health Centers | Clinic/Center | 110 East Second Ave, Twisp, WA 98856 | 2014-05-15 |
| 1205253176 | Family Health Centers | Clinic/Center | 1015 Columbia, Bridgeport, WA 98813 | 2014-03-27 |
| 1497176390 | Family Health Centers | Clinic/Center | 1015 Columbia Ave, Bridgeport, WA 98813 | 2013-12-18 |
| 1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1306005715 | Family Health Centers | Clinic/Center | 1003 Koala Dr., Omak, WA 98841 | 2008-06-02 |
| 1124230941 | Family Health Centers | Clinic/Center | 716 1st Ave, Okanogan, WA 98840-9679 | 2007-05-04 |
| 1861604720 | Family Health Centers | Case Management | 716 First Ave S, Okanogan, WA 98840-9679 | 2007-05-04 |
| 1063064343 | Family Health Centers | Dentist | 716 1st Ave S, Okanogan, WA 98840-9679 | 2019-07-16 |
| 1902277205 | Family Health Centers | Clinic/Center | 716 1st Ave S, Okanogan, WA 98840-9679 | 2015-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS | 716 1st Ave S, Okanogan, WA 98840-9679 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS AT NYU LANGONE | 150 55th St Ste 1, Brooklyn, NY 11220-2508 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. | 2256 Heitman St, Fort Myers, FL 33901-3744 |
| Washington State Corporations | FAMILY HEALTH CENTERS OMAK | 716 1st Ave S, Okanogan, WA 98840 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS, INC. | 2215 Portland Ave, Louisville, KY 40212-1033 |
| Iowa Business Entities | FAMILY HEALTH CENTERS, L.L.C. | 5445 Ave O, Fort Madison, IA 52627 |
| Street Address |
520 W INDIAN AVE |
| City | BREWSTER |
| State | WA |
| Zip Code | 98812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623581 | L Keith Hanson Pllc | Clinic/Center | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| 1174043384 | Victoria Malloch Desalvo | Nurse Practitioner | 520 W Indian Ave, Brewster, WA 98812 | 2017-06-20 |
| 1710328869 | Jamie R Descoteaux | Nurse Practitioner | 520 W Indian Ave, Brewster, WA 98812 | 2013-07-17 |
| 1316123581 | Caribou Trail Professional Medical Group | Orthopaedic Surgery | 520 W Indian Ave, Brewster, WA 98812-0220 | 2008-01-17 |
| 1417099391 | Jean Ann Ekvall | Dietitian, Registered | 520 W Indian Ave, Brewster, WA 98812 | 2007-02-13 |
| 1235190380 | Greg L Ledgerwood | Allergy & Immunology | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-29 |
| 1023077922 | Lindsay Keith Hanson | Family Medicine | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| 1811956717 | Christopher J Casey | Physician Assistant | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
| 1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1194019612 | Mitzi Gutierrez | Student in an Organized Health Care Education/Training Program | 343 E. Main Ave., Brewster, WA 98812 | 2011-06-01 |
| 1982938924 | Jason R Tucker | Dentist | 101 North 6th Street, Brewster, WA 98812 | 2009-09-23 |
| 1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1639375124 | Robert Thomas Lamberton | Orthopaedic Surgery | 520 West Indian Avenue, Brewster, WA 98812 | 2007-06-22 |
| Find all providers in zip 98812 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1003152240 | Open Door Family Medical Center, Inc. | Clinic/Center | 155 Main St, Brewster, NY 10509-1521 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FAMILY HEALTH CENTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.