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YAKIMA VALLEY FARM WORKERS CLINIC NPI 1346379542


NPI Information

NPI: 1346379542
Provider Name: YAKIMA VALLEY FARM WORKERS CLINIC

Doing Business As: YAKIMA DENTAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
602 E NOB HILL BLVD
YAKIMA, WA
ZIP 98901
Phone: (509) 248-1082
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YAKIMA VALLEY FARM WORKERS CLINIC is a federally qualified health center (fqhc) clinic center in Yakima, WA. YAKIMA VALLEY FARM WORKERS CLINIC NPI is 1346379542. The provider is registered as an organization entity type.
The provider Is Doing Business As Yakima Dental Clinic.

The provider's business location address is:

602 E NOB HILL BLVD
YAKIMA, WA
ZIP 98901-534
Phone: (509) 248-1082

The provider's authorized official is Shannon Fernandez .
The authorized official title is Billing Vp and has the following contact phone number (509) 865-6175.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/2/2022.


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
15010871MEDICAIDWASHINGTON

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: 4/28/2024

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