| Ephrata Community Dental Clinic | |
|
204 12th Ave Sw Ephrata WA 98823-2197 | |
| (509) 754-6199 | |
| Not Available |
| Full Name | Ephrata Community Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 204 12th Ave Sw, Ephrata, Washington |
| Authorized Official Name and Position | Sheila Chilson (CEO) |
| Authorized Official Contact | 5097668971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephrata Community Dental Clinic 605 Coolidge Drive Moses Lake WA 98837 Ph: (509) 754-6199 | Ephrata Community Dental Clinic 204 12th Ave Sw Ephrata WA 98823-2197 Ph: (509) 754-6199 |
| NPI Number | 1023597119 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023597119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | PHHC.FX.60660507 (Washington) | Primary |
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