| Family Health Centers | |
|
716 First Avenue South Okanogan WA 98840-9679 | |
| (509) 422-5700 | |
| (509) 422-7680 |
| Full Name | Family Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 716 First Avenue South, Okanogan, Washington |
| Authorized Official Name and Position | Jesus Hernandez (INTERM CEO) |
| Authorized Official Contact | 5094227601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers Po Box 1340 Okanogan WA 98840-1340 Ph: (509) 422-5700 | Family Health Centers 716 First Avenue South Okanogan WA 98840-9679 Ph: (509) 422-5700 |
| NPI Number | 1609804392 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 9739076217 |
|---|---|
| Medicare Enrollment ID | O20040301000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609804392 | NPI | - | NPPES |
| C03341 | Other | WA | MEDICARE PTAN |
| 501837 | Other | WA | PTAN |
| 501968 | Other | WA | MEDICARE PTAN |
| 1306005715 | Other | WA | MEDICARE |
| 1184883449 | Other | WA | MEDICARE |
| 1497176390 | Other | WA | MEDICARE |
| 1609804392 | Other | WA | MEDICARE |
| 1821340092 | Other | WA | MEDICARE |
| 501949 | Other | WA | MEDICARE PTAN |
| 7060643 | Medicaid | WA | |
| G000354600 | Other | WA | MEDICARE PTAN |
| 1629237482 | Other | WA | MEDICARE |
| 501836 | Other | WA | PTAN |
| 801838 | Other | WA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600625131 (Washington) | Primary |
| Provider Name | Dorothy Ruth Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801980958 PECOS PAC ID: 4486559812 Enrollment ID: I20031126000684 |
| Provider Name | Eric E Haeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366404592 PECOS PAC ID: 0840289856 Enrollment ID: I20050126000832 |
| Provider Name | Leesa M Linck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053424846 PECOS PAC ID: 2264532795 Enrollment ID: I20070712000196 |
| Provider Name | Sharmon M Figenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265573257 PECOS PAC ID: 9830281518 Enrollment ID: I20070827000153 |
| Provider Name | Katherine Jean Kirner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407066103 PECOS PAC ID: 1052408861 Enrollment ID: I20071025000567 |
| Provider Name | Allison A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649377508 PECOS PAC ID: 8325106107 Enrollment ID: I20081023000083 |
| Provider Name | Kathleen M Manseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679722342 PECOS PAC ID: 7315008109 Enrollment ID: I20081211000781 |
| Provider Name | Leslie C Tregillus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477638716 PECOS PAC ID: 4587799002 Enrollment ID: I20100322000858 |
| Provider Name | Lindsay Keith Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023077922 PECOS PAC ID: 7517851900 Enrollment ID: I20100726000175 |
| Provider Name | Blue E Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407005051 PECOS PAC ID: 5890976534 Enrollment ID: I20110301000592 |
| Provider Name | Kathleen A Weigel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457528044 PECOS PAC ID: 8628251188 Enrollment ID: I20110322000557 |
| Provider Name | James G Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760683924 PECOS PAC ID: 1759559768 Enrollment ID: I20110922000386 |
| Provider Name | Emily R Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316175409 PECOS PAC ID: 1052568649 Enrollment ID: I20120905000066 |
| Provider Name | Kevan Christina Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174879126 PECOS PAC ID: 0446409486 Enrollment ID: I20121005000474 |
| Provider Name | Jamie Rayellen Descoteaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328869 PECOS PAC ID: 4880838408 Enrollment ID: I20130923000328 |
| Provider Name | Katherin M Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629338546 PECOS PAC ID: 4789807959 Enrollment ID: I20151215001681 |
| Provider Name | Waldemar Lugo Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124152905 PECOS PAC ID: 3375619810 Enrollment ID: I20160420000984 |
| Provider Name | Sonya Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669927620 PECOS PAC ID: 2769770817 Enrollment ID: I20161005002469 |
| Provider Name | Robie Sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710282199 PECOS PAC ID: 9133352891 Enrollment ID: I20161026002940 |
| Provider Name | Victoria Desalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043384 PECOS PAC ID: 7416220009 Enrollment ID: I20170901001365 |
| Provider Name | Klaireece Fitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922489590 PECOS PAC ID: 6305106733 Enrollment ID: I20180918002743 |
| Provider Name | Erin Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689061517 PECOS PAC ID: 9537473046 Enrollment ID: I20190204001141 |
| Provider Name | Sarah Marie Long |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609352244 PECOS PAC ID: 5193065258 Enrollment ID: I20190327002432 |
| Provider Name | Michael John Schiesser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215092507 PECOS PAC ID: 7911974449 Enrollment ID: I20190604000645 |
| Provider Name | Julie Frenette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518190628 PECOS PAC ID: 0042598286 Enrollment ID: I20190723001912 |
| Provider Name | Oleksiy Motch |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699329235 PECOS PAC ID: 2365770534 Enrollment ID: I20190826002996 |
| Provider Name | Helen Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447852785 PECOS PAC ID: 0648686832 Enrollment ID: I20210314000008 |
| Provider Name | Andrew Lee Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558821264 PECOS PAC ID: 2062748874 Enrollment ID: I20210708001578 |
| Provider Name | Emory Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073044483 PECOS PAC ID: 8224302807 Enrollment ID: I20220322001854 |
| Provider Name | Kristin Hildebrandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962961359 PECOS PAC ID: 0547591646 Enrollment ID: I20220826002572 |
| Provider Name | Alexandra Giselle Argento-berrio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043558638 PECOS PAC ID: 6901134824 Enrollment ID: I20220906001504 |
| Provider Name | Sarah Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265938021 PECOS PAC ID: 8921355801 Enrollment ID: I20221109000894 |
| Provider Name | Romany Redman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528420718 PECOS PAC ID: 4284990946 Enrollment ID: I20221212000202 |
| Provider Name | Joshua Wa Monson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982233292 PECOS PAC ID: 6901207554 Enrollment ID: I20231011003713 |
| Provider Name | Nicole C Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922620947 PECOS PAC ID: 6204219751 Enrollment ID: I20231030003409 |
| Provider Name | Holly C Boettger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750513586 PECOS PAC ID: 9830540822 Enrollment ID: I20240103003498 |
| Provider Name | Tanya J Heller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427102102 PECOS PAC ID: 1052764339 Enrollment ID: I20240202001578 |
| Provider Name | Katie Mae Sommers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346638855 PECOS PAC ID: 6406290170 Enrollment ID: I20240221002145 |
Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 1st Ave S, Okanogan, WA 98840 Phone: 509-422-7674 | |
Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 1st Ave S, Okanogan, WA 98840 Phone: 509-422-7601 Fax: 509-422-7680 |