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YAKIMA VALLEY FARM WORKERS CLINIC NPI 1972684710


NPI Information

NPI: 1972684710
Provider Name: YAKIMA VALLEY FARM WORKERS CLINIC

Doing Business As: LANCASTER FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3896 BEVERLY AVE NE STE 40 BUILDING J
SALEM, OR
ZIP 97305
Phone: (503) 588-0076
Get Directions

YAKIMA VALLEY FARM WORKERS CLINIC is a federally qualified health center (fqhc) clinic center in Salem, OR. YAKIMA VALLEY FARM WORKERS CLINIC NPI is 1972684710. The provider is registered as an organization entity type.
The provider Is Doing Business As Lancaster Family Health Center.

The provider's business location address is:

3896 BEVERLY AVE NE STE 40 BUILDING J
SALEM, OR
ZIP 97305-374
Phone: (503) 588-0076
Fax: (503) 588-0531

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

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/12/2008.


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)Yes

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
2CD9420OTHEROREGONRAILROAD MEDICARE
3R102198MEDICARE PINOREGON

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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