YAKIMA VALLEY FARM WORKERS CLINIC (NPI# 1235265455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235265455 |
Entity Type | Organization |
Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
Other Organization Name | MIRAMAR HEALTH CENTER |
Practice Address |
1608 N Road 44 Pasco WA 99301-2667 |
Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
Practice Telephone | 5095439280 |
Mailing Telephone | 5095439280 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2008-02-12 |
Authorized Official Name | JUAN CARLOS OLIVARES (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5098656175 |
Authorized Official Credential | CEO |
Is Organization Subpart | Y |
Parent Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7133291 | 05 | |
WA | LABOR AND INDUSTRIES | 204171 | 01 |
Other Name | Type Code |
---|---|
Miramar Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710422407 | Yakima Valley Farm Workers Clinic | Clinic/Center | 115 Sunnyside Avenue, Granger, WA 98932 | 2017-01-04 |
1114344611 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1715 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2014-03-21 |
1982046710 | Yakima Valley Farm Workers Clinic | Clinic/Center | 2680 Yakima Valley Hwy Ste B, Sunnyside, WA 98944-1242 | 2013-07-22 |
1003945205 | Yakima Valley Farm Workers Clinic | Clinic/Center | 300 Division St, Grandview, WA 98930-1359 | 2007-03-05 |
1083743538 | Yakima Valley Farm Workers Clinic | Clinic/Center | 603 W 4th Ave, Toppenish, WA 98948-1617 | 2007-03-02 |
1972684710 | Yakima Valley Farm Workers Clinic | Clinic/Center | 3896 Beverly Ave Ne Ste 40 Building J, Salem, OR 97305-1374 | 2006-10-18 |
1396831624 | Yakima Valley Farm Workers Clinic | Pharmacy | 510 West First Avenue, Toppenish, WA 98948 | 2006-10-05 |
1427001940 | Yakima Valley Farm Workers Clinic | Clinic/Center | 589 Nw 11th St, Hermiston, OR 97838 | 2006-05-18 |
1679526107 | Yakima Valley Farm Workers Clinic | Clinic/Center | 8935 Se Powell Blvd, Portland, OR 97266-1938 | 2006-05-18 |
1508817313 | Yakima Valley Farm Workers Clinic | Clinic/Center | 518 W 1st Ave, Toppenish, WA 98948-1564 | 2006-05-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | YAKIMA VALLEY FARM WORKERS CLINIC | 604 W 1st Ave, Toppenish, WA 98948 |
Washington State Corporations | YAKIMA VALLEY FARM WORKERS CLINIC | 604 W 1st Ave, Po Box 190, Toppenish, WA 98948 |
Street Address |
1608 N ROAD 44 |
City | PASCO |
State | WA |
Zip Code | 99301-2667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508912643 | Susan Beryl Harp | Nurse Practitioner | 1608 N Road 44, Pasco, WA 99301-2667 | 2007-01-25 |
1972079192 | Monica Taylor | Physician Assistant | 1608 N Road 44, Pasco, WA 99301-2667 | 2018-10-15 |
1659868867 | Laboratory Corporation of America | Clinical Medical Laboratory | 1608 N Road 44, Pasco, WA 99301-2667 | 2018-04-13 |
1376093294 | Jennelle Ashley Thompson | Physician Assistant | 1608 N Road 44, Pasco, WA 99301-2667 | 2016-10-04 |
1578927414 | Brent Fivecoat | Registered Nurse | 1608 N Road 44, Pasco, WA 99301-2667 | 2016-04-06 |
1174994859 | Laura Sutherland | Dietitian, Registered | 1608 N Road 44, Pasco, WA 99301-2667 | 2015-10-07 |
1134565260 | Stephanie Santos | Nurse Practitioner | 1608 N Road 44, Pasco, WA 99301-2667 | 2013-05-15 |
1952678401 | Nichole Mcallister | Physician Assistant | 1608 N Road 44, Pasco, WA 99301-2667 | 2011-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
Find all providers in zip 99301 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.