Organization Name: | COWLITZ FAMILY HEALTH CENTER |
NPI Number: | 1366790008 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIAN COOPER (CEO) |
Mailing Address: | 621 Grade St Kelso |
State: | WA US |
Postal Code: | 98626 |
Phone Number: | 3606363892 |
Fax Number: | 3604141114 |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0050X |
License Number: | 600176084 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Family Planning, Non-Surgical |
Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |