1. Home
  2. Directory
  3. Washington
  4. Bridgeport
  5. Clinic Center
  6. NPI Profile

FHC BRIDGEPORT DENTAL
NPI 1205253176
Clinic/Center - Dental in Bridgeport, WA

Active since March 27, 2014CLIA 50D2309890 · Microscopy
1015 COLUMBIA, BRIDGEPORT, WA 98813(509) 686-0603(509) 686-0610 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2021, Jun 9, 2017, Mar 15, 2017 (3 updates tracked since 2017).

About Fhc Bridgeport Dental NPPES

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

FHC BRIDGEPORT DENTAL (NPI 1205253176) is a healthcare organization registered as a dental in Bridgeport, Washington and active in the NPI registry since March 2014. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Jesus Hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205253176
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILY HEALTH CENTERS
Location Address1015 COLUMBIABridgeport, WA 98813
Mailing AddressPo Box 1340Okanogan, WA 98840-1340
Phone(509) 686-0603
Fax(509) 686-0610
Organization SubpartNo
Authorized OfficialJesus HernandezCeo · (509) 422-5700
Enumeration DateMarch 27, 2014
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1205253176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1015 COLUMBIA, Bridgeport, WA 98813
Open in Google Maps ↗

Other Names 1

Other NameFhc Bridgeport Dental

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) 50D2309890

Family Health Centers · Bridgeport, WA
Active · expires Apr 4, 2028
CLIA Number50D2309890
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKevan Coffey
Laboratory Phone(509) 422-9700
Laboratory LocationFamily Health Centers1015 Columbia Ave, Bridgeport, WA 98813
CLIA data matches this NPI record on: Address Name
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 2

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

MATTHEW CARMODY
Dentist
1015 COLUMBIA
BRIDGEPORT, WA 98813
Douglas County (509) 422-5700
MICHELLE LANE DH
Dental Hygienist
1015 COLUMBIA
BRIDGEPORT, WA 98813
Douglas County (509) 422-5700

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 Family Health Centers's NPI number?

The NPI number for Family Health Centers is 1205253176. It was assigned to this organization in the NPPES registry on March 27, 2014. The provider is also known as Fhc Bridgeport Dental.

Where is Family Health Centers located?

Family Health Centers is located at 1015 Columbia, Bridgeport, WA 98813. The listed phone number is (509) 686-0603.

What is Family Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Family Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2309890) 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 Family Health Centers was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.