Fasa Family Wellness, Pllc
Foot & Ankle Surgery
1114 Broadway St, Longview
Washington, 98632-3842
360-577-3682 360-577-1871
Fasa Family Wellness, Pllc is a Foot & Ankle Surgery in Longview, Washington. It is located at 1114 Broadway St, Longview and it's customer support contact number is 360-577-3682. The authorized person of Fasa Family Wellness, Pllc is Terrence Eugene Hess who is Owner of this DME and his contact number is 360-754-3338. Active license number of Fasa Family Wellness, Pllc is PO00000488 for Foot & Ankle Surgery in Washington. Fasa Family Wellness, Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fasa Family Wellness, Pllc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Fasa Family Wellness, Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Fasa Family Wellness, Pllc |
| Type: | Foot & Ankle Surgery |
| Location: | 1114 Broadway St, Longview,
Washington, 98632-3842 |
| Phone: | 360-577-3682 |
| Fax: | 360-577-1871 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Terrence Eugene Hess |
| Position: | Owner |
| Contact Number: | 360-754-3338 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1861495640 |
| NPI Enumeration Date: | 24 May, 2005 |
| NPI Last Update On: | 29 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fasa Family Wellness, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Foot & Ankle Surgery | PO00000488 | Washington | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Fasa Family Wellness, Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7618290297 | O20240221002599 | Fasa Family Wellness Pllc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 825159,
Philadelphia, Pennsylvania |
| Zip: | 19182-5159 |
| Phone Number: | 360-577-3682 |
| Fax Number: | 360-577-1871 |
Patients can reach Fasa Family Wellness, Pllc at
1114 Broadway St, Longview, Washington or can
call on customer care at 360-577-3682.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.