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COWLITZ FAMILY HEALTH CENTER
NPI 1104243534
Clinic/Center - Rehabilitation, Substance Use Disorder in Kelso, WA

Active since March 24, 2014
621 GRADE ST, KELSO, WA 98626(360) 636-3892(360) 232-8400 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2021, Apr 29, 2021, Oct 26, 2020 and 2 more (5 updates tracked since 2016).

About Cowlitz Family Health Center NPPES

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

COWLITZ FAMILY HEALTH CENTER (NPI 1104243534) is a healthcare organization registered as a rehabilitation, substance use disorder in Kelso, Washington and active in the NPI registry since March 2014. The organization lists James J Coffee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104243534
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOWLITZ FAMILY HEALTH CENTER
Location Address621 GRADE STKelso, WA 98626-2606
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 232-8400
Phone(360) 636-3892
Fax(360) 232-8400
Organization SubpartNo
Authorized OfficialJames J CoffeeCeo · (360) 636-3892
Enumeration DateMarch 24, 2014
Last NPPES UpdateMay 31, 20225 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1104243534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
621 GRADE ST, Kelso, WA 98626
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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.

DEBORAH SMITH
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-5855
MICHELLE BUCKHOLZ SUDP
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-9210
RAMA MITCHELL JR. SUDP
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-9210
GREGORY ERNEST ERBES SUDP
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-9210

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 1104243534. It was assigned to this organization in the NPPES registry on March 24, 2014.

Where is Cowlitz Family Health Center located?

Cowlitz Family Health Center is located at 621 Grade St, Kelso, WA 98626. The listed phone number is (360) 636-3892.

What is Cowlitz Family Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Cowlitz Family Health Center was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.