Healthcare Provider Details

I. General information

NPI: 1386608560
Provider Name (Legal Business Name): NEW HEALTH PROGRAMS ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 02/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 THIRD AVE
ORIENT WA
99160-9418
US

IV. Provider business mailing address

141 3RD AVE PO BOX 1384
ORIENT WA
99160-9418
US

V. Phone/Fax

Practice location:
  • Phone: 509-684-5521
  • Fax: 509-684-1464
Mailing address:
  • Phone: 509-684-5521
  • Fax: 509-684-1464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License NumberJ600317870
License Number StateWA

VIII. Authorized Official

Name: JILL KAY DAMIANO
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 509-935-6001