YAKIMA VALLEY FARM WORKERS CLINIC (NPI# 1992834196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992834196 |
Entity Type | Organization |
Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
Other Organization Name | MSS PROGRAM WALLA WALLA |
Practice Address |
1120 W Rose St Walla Walla WA 99362-1662 |
Practice Telephone | 5095256695 |
Mailing Telephone | 5095256695 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JUAN CARLOS OLIVARES (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5098656175 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
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 | 7401946 | 05 |
Other Name | Type Code |
---|---|
MSS Program Walla Walla | 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 |
1120 W ROSE ST |
City | WALLA WALLA |
State | WA |
Zip Code | 99362-1662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497732127 | Benjamin Rodriguez | Internal Medicine | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2005-12-22 |
1699305185 | Amanda Burks | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2020-01-23 |
1245882042 | Kathryn Leigh Anderson | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-11 |
1700438793 | Tanner Dahl | Dentist | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-10 |
1104487115 | Nicole Moseley-wiilliams | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-06-21 |
1396230470 | Kara Lynn Breymeyer | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2018-06-29 |
1144717331 | Laboratory Corporation of America | Clinical Medical Laboratory | 1120 W Rose St, Walla Walla, WA 99362 | 2018-04-13 |
1679010227 | Adrienne Hernandez | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2017-01-20 |
1407204811 | Benjamin Nichols | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-05-25 |
1023474624 | Susan Laabs | Registered Nurse | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
Find all providers in zip 99362 |
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 |
---|---|---|---|---|
1407101850 | Department of Veteran's Affairs | Clinic/Center | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2012-07-20 |
1023147220 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2007-03-05 |
1700839727 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2006-05-19 |
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1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
Find all providers with the same taxonomy |
City | WALLA WALLA |
Zip Code | 99362 |
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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.