Organization · Type 2 NPI
Healthsource of Moses Lake
Clinic/Center · Moses Lake, WA
NPI number
1003212895
Active
Practice location
420 W 3rd Ave
Moses Lake, WA 98837-1908
Fax (509) 765-3891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | CH00003167 (WA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
About NPI 1003212895
Healthsource of Moses Lake's National Provider Identifier is 1003212895, issued on Nov 6, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Moses Lake, WA. The record was last updated on Nov 6, 2014.