FAMILY HEALTH CENTER 14TH AVE
NPI 1962876748
Clinic/Center - Federally Qualified Health Center (FQHC) in Longview, WA

Active since November 17, 2015
784 14TH AVE, LONGVIEW, WA 98632(360) 703-6400(360) 353-3611 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2020, Nov 17, 2015 (2 updates tracked since 2015).

About Family Health Center 14th Ave NPPES

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

FAMILY HEALTH CENTER 14TH AVE (NPI 1962876748) is a healthcare organization registered as a federally qualified health center (fqhc) in Longview, Washington and active in the NPI registry since November 2015. The organization lists James K Coffee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962876748
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOWLITZ FAMILY HEALTH CENTER
Location Address784 14TH AVELongview, WA 98632-2315
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 232-8400
Fax(360) 353-3611
Organization SubpartYes
Authorized OfficialJames K CoffeeCeo · (360) 636-3892
Enumeration DateNovember 17, 2015
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1962876748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in WA · 600176084
Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X · License 600176084 (WA)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 600176084 (WA)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 600176084 (WA)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 600176084 (WA)
784 14TH AVE, Longview, WA 98632

Other Names 1

Doing Business AsFamily Health Center 14th Ave

Other Identifiers 2

Medicaid1437359551WA
Medicaid7086523WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Health Center 14th Ave is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Family Health Center 14th Ave, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner12
Family Practice3
Certified Nurse Midwife (CNM)1
Clinical Social Worker1
Internal Medicine1

Clinicians, nearest first (18)

Family Practice
NPI 1932132552
784 14TH AVE
Longview, WA 98632
(360) 703-6400
✔ PECOSSame address
Internal Medicine
NPI 1619903820
784 14TH AVE
Longview, WA 98632
(360) 703-6400
✔ PECOSSame address
Nurse Practitioner
NPI 1821340530
784 14TH AVE
Longview, WA 98632
(360) 703-6400
✔ PECOSSame address
Family Practice
NPI 1588877799
784 14TH AVE
Longview, WA 98632
(360) 703-6400
✔ PECOSSame address
Clinical Social Worker
NPI 1952965279
831 12TH AVE
Longview, WA 98632
(360) 998-2349
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1295167393
831 12TH AVE
Longview, WA 98632
(360) 998-2349
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1093607426
831 12TH AVE
Longview, WA 98632
(360) 998-2349
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1558465625
1057 12TH AVE
Longview, WA 98632
(360) 636-3892
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1568185502
1057 12TH AVE
Longview, WA 98632
(360) 636-3892
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1154210813
1057 12TH AVE
Longview, WA 98632
(360) 636-3892
✔ PECOS0.4 mi
Family Practice
NPI 1386669711
1057 12TH AVE
Longview, WA 98632
(360) 636-3892
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1962270330
1057 12TH AVE
Longview, WA 98632
(360) 636-3892
✔ PECOS0.4 mi
Certified Nurse Midwife (CNM)
NPI 1972021087
300 OAK ST
Kelso, WA 98626
(360) 353-5511
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1205349602
300 OAK ST STE B
Kelso, WA 98626
(360) 353-5511
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1104691658
139 1ST AVE SW
Castle Rock, WA 98611
(360) 814-2353
✔ PECOS10 mi
Nurse Practitioner
NPI 1265662233
139 1ST AVE SW
Castle Rock, WA 98611
(360) 274-2353
✔ PECOS10 mi
Nurse Practitioner
NPI 1992280796
1251 LEWIS RIVER RD STE D
Woodland, WA 98674
(360) 225-4310
✔ PECOS18 mi
Nurse Practitioner
NPI 1124308408
335 UNA AVE
Cathlamet, WA 98612
(360) 795-3201
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1962876748. It was assigned to this organization in the NPPES registry on November 17, 2015. The provider is doing business as Family Health Center 14th Ave.

Where is Cowlitz Family Health Center located?

Cowlitz Family Health Center is located at 784 14th Ave, Longview, WA 98632. The listed phone number is (360) 703-6400.

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.

Is Cowlitz Family Health Center enrolled in Medicare?

Yes. Cowlitz Family Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cowlitz Family Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Cowlitz Family Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Family Practice (3) and Certified Nurse Midwife (CNM) (1). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cowlitz Family Health Center accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Cowlitz Family Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.