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NPI Code Detail

MEDICARE: YAKIMA NEIGHBORHOOD HEALTH SERVICES

MEDICARE: YAKIMA NEIGHBORHOOD HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1750985727
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAKIMA NEIGHBORHOOD HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 2605
Second Line :
City : YAKIMA
State : WA
Zip : 98907-2605
Country : US
Telephone Number : 509-454-4143
Fax Number :
Provider Business Practice Location Address
First Line : 2501 BUSINESS LN
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1167
Country : US
Telephone Number : 509-454-4143
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : RHONDA HAUFF
Credential :
Telephone Number : 509-454-4143
Provider Enumeration Date : 11/30/2020
Last Update Date : 01/11/2021

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1609395060 — SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
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Directions to “YAKIMA NEIGHBORHOOD HEALTH SERVICES ” Practice Location

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