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

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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

Phone(360) 703-6400

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

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Other Names 1

Doing Business AsFamily Health Center 14th Ave

Other Identifiers 2

Medicaid1437359551WA

Medicaid7086523WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 17

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

MS. JAN CARLIN KHOURI APRN

Nurse Practitioner (Family)