OrganizationActive
Family Health Centers
NPI 1609584697 · Federally Qualified Health Center (FQHC) · Bridgeport, WA
Provider details
- NPI number
- 1609584697
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jesus Hernandez, Ceo(509) 422-7601
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Tacoma Avenue
Bridgeport, WA 98813
Phone: (509) 422-5700
Fax: (509) 422-7680
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1340
Okanogan, WA 98840-1340
Registry dates
- Enumerated
- 2022-11-09
- Last updated
- 2022-11-09
- Certified
- 2022-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.