COWLITZ FAMILY HEALTH CENTER
NPI 1053472993
Clinic/Center - Federally Qualified Health Center (FQHC) in Woodland, WA

Active since December 13, 2006CLIA 50D0637488 · Microscopy
1251 LEWIS RIVER RD STE D, WOODLAND, WA 98674(360) 225-4310(360) 225-4339 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Apr 29, 2021, May 20, 2020 and 1 more (4 updates tracked since 2018).

About Cowlitz Family Health Center NPPES

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

COWLITZ FAMILY HEALTH CENTER (NPI 1053472993) is a healthcare organization registered as a federally qualified health center (fqhc) in Woodland, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists James Coffee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053472993
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOWLITZ FAMILY HEALTH CENTER
Location Address1251 LEWIS RIVER RD STE DWoodland, WA 98674-9203
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 414-1114
Fax(360) 225-4339
Organization SubpartYes
Authorized OfficialJames CoffeeCeo · (360) 636-3892
Enumeration DateDecember 13, 2006
Last NPPES UpdateMay 24, 20244 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
NPI 1053472993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1251 LEWIS RIVER RD STE D, Woodland, WA 98674

Other Identifiers 3

Medicaid7407349WA
Medicaid7900426WA
Medicaid7086523WA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0637488

Cowlitz Family Health Center · Longview, WA
Active · expires Apr 4, 2028
CLIA Number50D0637488
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 4, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorGerry Melgar
Laboratory Phone(360) 636-3892
Laboratory LocationCowlitz Family Health Center1057 12th Ave, Longview, WA 98632
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1251 LEWIS RIVER RD STE D
WOODLAND, WA 98674
Registered Nurse
1251 LEWIS RIVER RD STE D
WOODLAND, WA 98674
Dentist (General Practice)
1251 LEWIS RIVER RD STE D
WOODLAND, WA 98674
Nurse Practitioner (Family)
1251 LEWIS RIVER RD STE D
WOODLAND, WA 98674

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 Cowlitz Family Health Center's NPI number?

The NPI number for Cowlitz Family Health Center is 1053472993. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Cowlitz Family Health Center located?

Cowlitz Family Health Center is located at 1251 Lewis River Rd Ste D, Woodland, WA 98674. The listed phone number is (360) 225-4310.

What is Cowlitz Family Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Cowlitz Family Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0637488) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cowlitz Family Health Center was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.