NPI 1003212895

Healthsource of Moses Lake

Organisation Clinic/Center Moses Lake, WA

Practice location

Address: 420 W 3rd Ave, Moses Lake, WA 98837-1908
Phone: (509) 765-0638
Fax: (509) 765-3891

Authorised official

Name: Gregg Moyle Jones
Title: President
Phone: (509) 765-0638

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence CH00003167 (WA)

Other Clinic/Center providers in Washington →

Registry record

NPI: 1003212895
Entity type: Organization
NPI issued: 6 Nov 2014
Record last updated: 6 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.