Dentistry For Kids
LBN: Yakim Valley Farm Workers Clinic
Dentistry For Kids is an health care organization with primary practice located at 2611 S Quillan Pl Ste 110 , Kennewick WA 99338-1899. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Yakim Valley Farm Workers Clinic can be contacted via phone (509) 865-6175, or through Fernandez, Shannon via phone (509) 865-6175.
Contact Information
Primary practice address
2611 S Quillan Pl Ste 110
Kennewick WA 99338-1899
Phone: (509) 865-6175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 600304660-001-0035 | Washington |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 600304660-001-0035 | Washington |
Profile Details
| NPI number | 1063935823 |
|---|---|
| LBN Legal business name | Yakim Valley Farm Workers Clinic |
| DBA Doing business as | Dentistry For Kids |
| Authorized official | Fernandez, Shannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2017 |
| Last updated | Nov 1st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063935823 | NPPES |
| Washington | MEDICAID | PENDING |
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