| Ynhs Cwcmh | |
|
402 S 4th Ave Yakima WA 98902-3546 | |
| (509) 454-4143 | |
| (509) 454-3651 |
| Full Name | Ynhs Cwcmh |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 S 4th Ave, Yakima, Washington |
| Authorized Official Name and Position | Rhonda D Hauff (COO/DEPUTY CEO) |
| Authorized Official Contact | 5094544143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ynhs Cwcmh Po Box 2605 Yakima WA 98907-2605 Ph: (509) 454-4143 | Ynhs Cwcmh 402 S 4th Ave Yakima WA 98902-3546 Ph: (509) 454-4143 |
| NPI Number | 1902112196 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 11/08/2010 |
| Medicare PECOS PAC ID | 6709786585 |
|---|---|
| Medicare Enrollment ID | O20101208001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902112196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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