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COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI 1154533222


NPI Information

NPI: 1154533222
Provider Name: COMMUNITY HEALTH OF CENTRAL WASHINGTON

Doing Business As: YAKIMA PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
402 S 12TH AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 575-0114
Get Directions

COMMUNITY HEALTH OF CENTRAL WASHINGTON is a pediatrics in Yakima, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COMMUNITY HEALTH OF CENTRAL WASHINGTON NPI is 1154533222. The provider is registered as an organization entity type.
The provider Is Doing Business As Yakima Pediatrics.

The provider's business location address is:

402 S 12TH AVE
YAKIMA, WA
ZIP 98902-115
Phone: (509) 575-0114
Fax: (509) 575-0808

The provider's authorized official is Angela Gonzalez .
The authorized official title is Ceo and has the following contact phone number (509) 494-6700.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131820OTHERWASHINGTONLABOR & INDUSTRIES
27118276MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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