FAMILY HEALTH CENTERS DENTAL (NPI# 1235211673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235211673 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS DENTAL |
| Other Organization Name | OKANOGAN FARM WORKERS CLINIC |
| Practice Address |
626 Second Ave S Okanogan WA 98840-9679 |
| Mailing Address |
Po Box 1340 Okanogan WA 98840-1340 |
| Practice Telephone | 5094226705 |
| Practice Fax Number | 5094226708 |
| Mailing Telephone | 5094225700 |
| Mailing Fax Number | 5094227680 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | JESUS HERNANDEZ (CEO) |
| Authorized Official Telephone | 5094225700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
600625131 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5022199 | 05 |
| Other Name | Type Code |
|---|---|
| OKANOGAN FARM WORKERS CLINIC | Former Legal Business Name - Organization |
| Street Address |
626 SECOND AVE S |
| City | OKANOGAN |
| State | WA |
| Zip Code | 98840-9679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364604 | Teresa Rene Good | Registered Nurse | 33 Appleway Road, Okanogan, WA 98840 | 2019-12-31 |
| 1669953774 | Arley Medrano | Dentist | 626 2nd Avenue, Okanogan, WA 98840 | 2018-08-27 |
| 1821579210 | Gagandeep Sandhu | Dentist | 626 2nd Ave. South, Okanogan, WA 98840 | 2018-08-24 |
| 1386194686 | Planned Parenthood of Greater Washington and North Idaho | Clinic/Center | 703 2nd Ave, Okanogan, WA 98840 | 2016-10-11 |
| 1790106219 | Brooke Chase Dmd Pllc | Dentist | 108 2nd Ave South, Okanogan, WA 98840 | 2013-12-31 |
| 1023357423 | Alexandria Mae Egusquiza | Dental Hygienist | 626 S. 2nd Ave., Okanogan, WA 98840 | 2013-02-05 |
| 1558608430 | Rebecca Kelly-malone | Occupational Therapist | 1118 South 5th Ave., Okanogan, WA 98840 | 2013-01-11 |
| 1801169628 | Okanogan Valley Professional Pharmacy LLC | Pharmacy | 236 N. 2nd Ave., Okanogan, WA 98840 | 2012-02-10 |
| 1659505212 | Jenell Lynn Kruse | Massage Therapist | 6 Quail Run Way, Okanogan, WA 98840 | 2009-05-12 |
| 1376788208 | Joan Pfeiffer | Dietitian, Registered | 716 First Ave South, Okanogan, WA 98840 | 2008-12-05 |
| Find all providers in zip 98840 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FAMILY HEALTH CENTERS DENTAL.
| 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.