| Neighborhood Connections Dental | |
|
102 S Naches Ave Yakima WA 98901-2947 | |
| (509) 834-2098 | |
| (509) 454-4115 |
| Full Name | Neighborhood Connections Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 S Naches Ave, Yakima, Washington |
| Authorized Official Name and Position | Rhonda Hauff (PRIMARY CARE ADMINISTRATOR) |
| Authorized Official Contact | 5094544143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Connections Dental Po Box 2605 Yakima WA 98907-2605 Ph: (509) 454-4143 | Neighborhood Connections Dental 102 S Naches Ave Yakima WA 98901-2947 Ph: (509) 834-2098 |
| NPI Number | 1972711018 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 6709786585 |
|---|---|
| Medicare Enrollment ID | O20060804000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972711018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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