YAKIMA VALLEY FARM WORKERS CLINIC


Address: 1120 W Rose St, Walla Walla, WA 99362-1662
Phone: 5095256695

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 7401946 05

Other Provider/Organization Names

Other Name Type Code
MSS Program Walla Walla Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1120 W ROSE ST
City WALLA WALLA
State WA
Zip Code 99362-1662

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

Search similar providers

City WALLA WALLA
Zip Code 99362

Improve Information

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Dataset Information

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.

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