YAKIMA VALLEY FARM WORKERS CLINIC (NPI# 1710462304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710462304 |
| Entity Type | Organization |
| Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
| Practice Address |
1095 Se Bishop Blvd Pullman WA 99163-5452 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5097151700 |
| Practice Fax Number | 5097151030 |
| Mailing Telephone | 5098656175 |
| Mailing Fax Number | 5098652139 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | DINA BEJAR (VP OF BILLING) |
| Authorized Official Telephone | 5088656175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BUSINESS LICENSE | 600304660-001-0037 | 01 |
| Other Name | Type Code |
|---|---|
| Unify Family Dental | 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 |
1095 SE BISHOP BLVD |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992091730 | John Wesley | Dentist | 1095 Se Bishop Blvd, Pullman, WA 99163-5452 | 2011-06-20 |
| 1215311311 | Elizabeth Harrington | Dentist | 1095 Se Bishop Blvd, Pullman, WA 99163-5452 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.