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YAKIMA VALLEY FARM WORKERS CLINIC NPI 1255877858


NPI Information

NPI: 1255877858
Provider Name: YAKIMA VALLEY FARM WORKERS CLINIC

Doing Business As: LANCASTER MEDICAL AT LANCASTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
255 LANCASTER DR NE
SALEM, OR
ZIP 97301
Phone: (503) 576-8400
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YAKIMA VALLEY FARM WORKERS CLINIC is a federally qualified health center (fqhc) clinic center in Salem, OR. YAKIMA VALLEY FARM WORKERS CLINIC NPI is 1255877858. The provider is registered as an organization entity type.
The provider Is Doing Business As Lancaster Medical At Lancaster.

The provider's business location address is:

255 LANCASTER DR NE
SALEM, OR
ZIP 97301-155
Phone: (503) 576-8400

The provider's authorized official is Juan C Olivares .
The authorized official title is Chief Executive Officer and has the following contact phone number (509) 865-6175.

The enumeration date for this NPI number is 1/6/2017 and was last updated on 1/6/2017.


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)1265764-95OREGONYes

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
1022793MEDICAIDOREGON
21256764-95OTHEROREGONBUSINESS LICENSE

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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