WALLA WALLA VAMC (NPI# 1992745723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992745723 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA VAMC |
| Other Organization Name | YAKIMA VA CLINIC |
| Practice Address |
717 Fruitvale Blvd Yakima WA 98902-1465 |
| Mailing Address |
Po Box 94423 Cleveland OH 44101-4423 |
| Practice Telephone | 7023413164 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Yakima VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457742538 | Walla Walla Vamc | Clinic/Center | 2 Marine Drive, Suite 103, Boardman, OR 97818-9998 | 2015-02-11 |
| 1710378898 | Walla Walla Vamc | Clinic/Center | 401 Northeast 1st Street, Suite A, Enterprise, OR 97828-1186 | 2015-02-11 |
| 1184812943 | Walla Walla Vamc | Clinic/Center | 202 12th St, La Grande, OR 97850-2879 | 2007-10-05 |
| 1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
| 1093106171 | Walla Walla Vamc | Clinic/Center | 711 W North St, Grangeville, ID 83530-1349 | 2015-02-11 |
| 1588610398 | Walla Walla Vamc | Clinic/Center | 1630 23rd Ave, Stes. 302 & 401, Bldg. 2, Lewiston, ID 83501-6350 | 2006-05-25 |
| 1356393805 | Walla Walla Vamc | General Acute Care Hospital | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-05-16 |
| 1477501666 | Walla Walla Vamc | Department of Veterans Affairs (VA) Pharmacy | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-05-04 |
| Street Address |
717 FRUITVALE BLVD |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646969 | Sarah Kyunga An | Nurse Practitioner | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2014-03-17 |
| 1396043709 | Ineke M. Ojanen | Dietitian, Registered | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2011-03-09 |
| 1508937004 | Elizabeth A Grose | Nurse Practitioner | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-11-13 |
| 1194817700 | Janet Marie Ness | Nurse Practitioner | 717 Fruitvale Blvd, Yakima Community Based Outpt. Clinic (cboc), Yakima, WA 98902 | 2006-09-29 |
| 1013020023 | James Archie O'neal | Physician Assistant | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-08-16 |
| 1093737454 | Mei-huey Lin Holloway | Nurse Practitioner | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336567593 | Safe Bathtub Inc | Clinic/Center | 3047 Hedding St, Entiat, WA 98822-9713 | 2014-04-03 |
| 1346564614 | Seattle Vamc | Clinic/Center | 151 Ne Hampe Way, Lewis County Mall, Chehalis, WA 98532-2403 | 2010-03-16 |
| 1538317797 | Puget Sound Health Care System | Clinic/Center | 3205 N Shirley St, Tacoma, WA 98407-2586 | 2008-08-29 |
| 1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
| 1851348999 | Longview Va Clinic | Clinic/Center | 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 | 2006-05-27 |
| 1477509933 | Seattle Vamc | Clinic/Center | 13033 Bel Red Rd, Bellevue, WA 98005-2633 | 2006-05-26 |
| 1649221375 | Seattle Vamc | Clinic/Center | 9177 Ridgetop Blvd Nw, Silverdale, WA 98383-8519 | 2006-05-15 |
| 1407498009 | Seattle Vamc | Clinic/Center | 12360 Lake City Way Ne Ste 200, Seattle, WA 98125-5447 | 2019-10-15 |
| 1255981452 | Seattle Vamc | Clinic/Center | 34617 11th Pl S Ste 301, Federal Way, WA 98003-8706 | 2019-09-19 |
| 1457890527 | Josh Hudson | Clinic/Center | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2017-02-22 |
| 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.