Organization · Type 2 NPI

Grant County Public Hospital District No 5

Federally Qualified Health Center (FQHC) · Mattawa, WA

NPI number 1013743210 Active

Practice location

206 Government Rd
Mattawa, WA 99349-5116

Call (509) 932-4499 Map

Fax (509) 932-5363

Mailing address

210 Government Rd
Mattawa, WA 99349-5116

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Mattawa

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Columbia Basin Health AssociationFederally Qualified Health Center (FQHC) Mattawa, WA NPI 1184842254
Grant County Public Hospital District No 5Federally Qualified Health Center (FQHC) Mattawa, WA NPI 1609410075
Grant County Public Hospital District No 5Federally Qualified Health Center (FQHC) Mattawa, WA NPI 1699720797
Columbia Basin Health AssociationFederally Qualified Health Center (FQHC) Mattawa, WA NPI 1710232749

See all in Mattawa →

NPI record

NPI: 1013743210
Entity type: Organization (Type 2)
Issued: Sep 12, 2024
Last updated: Dec 4, 2024
Status: Active

Other names

<unavail>
Mattawa Community Medical Clinic · doing business as
Mattawa Community Medical Clinic · doing business as

Authorized official

Dana S Fox
CEO
(509) 932-4499

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013743210

Grant County Public Hospital District No 5's National Provider Identifier is 1013743210, issued on Sep 12, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mattawa, WA. The record was last updated on Dec 4, 2024.