YAKIMA VALLEY FARM WORKERS CLINIC (NPI# 1427001940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427001940 |
| Entity Type | Organization |
| Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
| Other Organization Name | MIRASOL FAMILY HEALTH CENTER |
| Practice Address |
589 Nw 11th St Hermiston OR 97838 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5415671717 |
| Practice Fax Number | 5415645994 |
| Mailing Telephone | 5415671717 |
| Mailing Fax Number | 5415645994 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-02-06 |
| 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 |
|---|---|---|---|
| OR | RAILROAD MEDICARE | CD9420 | 01 |
| OR | 022793 | 05 | |
| WA | 7087323 | 05 |
| Other Name | Type Code |
|---|---|
| Mirasol Family 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 |
| 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 |
| 1184246134 | Yakima Valley Farm Workers Clinic | Family Medicine | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2020-05-13 |
| 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 |
589 NW 11TH ST |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701265 | Geena Hernandez | Dietitian, Registered | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2019-07-11 |
| 1285290924 | Yakima Valley Farm Workers Clinic | Pharmacy | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2019-05-17 |
| 1730668161 | Sarah Dynes | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2018-08-07 |
| 1477031912 | Cynthia Hodge | Registered Nurse | 589 Nw 11th St, Hermiston, OR 97838 | 2018-08-06 |
| 1548758709 | Lucia Obregon | Nurse Practitioner | 589 Nw 11th St, Hermiston, OR 97838 | 2018-04-24 |
| 1790272995 | Laboratory Corporation of America | Clinical Medical Laboratory | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2018-04-13 |
| 1962926485 | Angela Klingensmith | Psychologist | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2017-07-26 |
| 1588100184 | Daniel Leo Doherty Jr. | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2017-01-06 |
| 1336693605 | Tiffany Nickerson | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2016-08-04 |
| 1881041291 | Sandra Villalpando | Family Medicine | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 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.