YAKIMA VALLEY FARM WORKERS CLINIC (NPI# 1194854398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194854398 |
| Entity Type | Organization |
| Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
| Other Organization Name | LINCOLN AVENUE DENTAL CLINIC |
| Practice Address |
2205 W Lincoln Ave Yakima WA 98902-2437 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5095753399 |
| Mailing Telephone | 5095753399 |
| Enumeration Date | 2007-03-05 |
| 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 | 5010871 | 05 |
| Other Name | Type Code |
|---|---|
| Lincoln Avenue Dental Clinic | 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 |
2205 W LINCOLN AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801810924 | Eric Hohman | Physician Assistant | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2006-07-26 |
| 1457985574 | Brett Parks | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2020-02-27 |
| 1811521362 | Rosa Elvira Briseno | Case Manager/Care Coordinator | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2020-02-24 |
| 1518510858 | Cecia Dianely Acevedo | Dietitian, Registered | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-07-16 |
| 1619536034 | Maria Brnjic | Nurse Practitioner | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-06-10 |
| 1336606300 | Stephanie Campbell | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
| 1295292266 | Emily Jean Loy | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
| 1124597281 | Jaime Lynn Wells | Registered Nurse | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-11-19 |
| 1659856904 | Noemi Zarate | Case Manager/Care Coordinator | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-10-02 |
| 1962999060 | Laboratory Corporation of America | Clinical Medical Laboratory | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-04-16 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1669831970 | Yakima Neighborhood Health Services | Clinic/Center | 602 E Yakima Ave, Yakima, WA 98901-2549 | 2016-02-15 |
| 1972869063 | Yakima Neighborhood Health Services | Clinic/Center | 1211 S 7th St, Yakima, WA 98901-3509 | 2012-04-03 |
| 1033677307 | Yakima Valley Farm Workers Clinic | Clinic/Center | 314 S 11th Ave, Yakima, WA 98902-3212 | 2019-03-06 |
| 1316402860 | Community Health of Central Washington | Clinic/Center | 501 S 5th Ave, Yakima, WA 98902-3550 | 2019-02-08 |
| 1003398892 | Community Health of Central Washington | Clinic/Center | 212 S 6th Ave, Yakima, WA 98902-3303 | 2018-08-29 |
| 1487068862 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 2nd Ave, Yakima, WA 98902 | 2014-06-13 |
| 1285068502 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1120 S 18th St, Yakima, WA 98901-3654 | 2013-08-22 |
| 1902112196 | Yakima Neighborhood Health Services | Clinic/Center | 402 S 4th Ave, Yakima, WA 98902-3546 | 2010-08-25 |
| 1457560351 | Yakima Neighborhood Health Services | Clinic/Center | 102 S Naches Ave, Yakima, WA 98901-2947 | 2007-05-21 |
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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.