HEALTHSOURCE OF MOSES LAKE
NPI 1003212895
Clinic/Center in Moses Lake, WA

Active since November 06, 2014
420 W 3RD AVE, MOSES LAKE, WA 98837(509) 765-0638(509) 765-3891 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthsource Of Moses Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF MOSES LAKE (NPI 1003212895) is a healthcare organization registered as a clinic/center in Moses Lake, Washington and active in the NPI registry since November 2014. The organization lists Gregg Moyle Jones, President, as its authorized official.

NPPES Registry Identity

NPI1003212895
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEALTHSOURCE OF MOSES LAKE
Location Address420 W 3RD AVEMoses Lake, WA 98837-1908
Mailing Address420 W 3rd AveMoses Lake, WA 98837-1908 · (509) 765-0638 · Fax (509) 765-3891
Fax(509) 765-3891
Organization SubpartNo
Authorized OfficialGregg Moyle JonesPresident · (509) 765-0638
Enumeration DateNovember 6, 2014
NPI 1003212895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in WA · CH00003167
Definition
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).
420 W 3RD AVE, Moses Lake, WA 98837

Other Identifiers 1

Medicare UPIN1598852840WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
420 W 3RD AVE
MOSES LAKE, WA 98837
Chiropractor
420 W 3RD AVE
MOSES LAKE, WA 98837
Chiropractor
420 W 3RD AVE
MOSES LAKE, WA 98837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Moses Lake's NPI number?

The NPI number for Healthsource Of Moses Lake is 1003212895. It was assigned to this organization in the NPPES registry on November 6, 2014.

Where is Healthsource Of Moses Lake located?

Healthsource Of Moses Lake is located at 420 W 3rd Ave, Moses Lake, WA 98837. The listed phone number is (509) 765-0638.

What is Healthsource Of Moses Lake's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Healthsource Of Moses Lake was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.