INNOVATION RESOURCE CENTER (NPI# 1336405141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336405141 |
| Entity Type | Organization |
| Organization Name | INNOVATION RESOURCE CENTER |
| Practice Address |
214 S 6th St Unit #3 Sunnyside WA 98944-1446 |
| Mailing Address |
Po Box 953 Sunnyside WA 98944-0953 |
| Practice Telephone | 5098362400 |
| Practice Fax Number | 5098362400 |
| Mailing Telephone | 5098362400 |
| Mailing Fax Number | 5098362400 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | MRS. MARIE ELENA GUERRER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5098362400 |
| Authorized Official Credential | MSW, NCACI, SAP, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00006228 | WA | Behavioral Health & Social Service Providers |
| Street Address |
214 S 6TH ST UNIT #3 |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1003393869 | Vivian Marana-manchess | Counselor | 4732 41st St, Sunnyside, NY 11104-3646 | 2018-07-24 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1104259167 | David Lawrence Wilson | Counselor | 702 E. Franklin Avenue, Sunnyside, WA 98944-0997 | 2013-08-14 |
| 1588937320 | Damien Pratt | Counselor | 4601 Greenpoint Ave Apt 2c, Sunnyside, NY 11104-1786 | 2012-02-09 |
| 1366540494 | The Valley Alcohol Council | Counselor | 702 Franklin Ave, Sunnyside, WA 98944-2273 | 2006-09-20 |
| 1396383188 | Victor Kenneth Hunt | Counselor | 702 Franklin Ave, Sunnyside, WA 98944 | 2019-12-12 |
| 1306495437 | Hailey Marae Rowe | Counselor | 702 Franklin Ave, Sunnyside, WA 98944 | 2019-09-11 |
| 1114493087 | Sigifredo Zermeno | Counselor | 702 Franklin Ave, Sunnyside, WA 98944 | 2018-10-18 |
| Find all providers in SUNNYSIDE | ||||
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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.