Columbia Basin Pediatric Dentistry
LBN: Yakima Valley Farm Workers Clinic
Columbia Basin Pediatric Dentistry is an health care organization with primary practice located at 7501 W Deschutes Pl , Kennewick WA 99336-7719. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty.
Yakima Valley Farm Workers Clinic can be contacted via phone (509) 865-6175, or through Fernandez, Shannon via phone (508) 865-6175.
Contact Information
Primary practice address
7501 W Deschutes Pl
Kennewick WA 99336-7719
Phone: (509) 865-6175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1144876905 |
|---|---|
| LBN Legal business name | Yakima Valley Farm Workers Clinic |
| DBA Doing business as | Columbia Basin Pediatric Dentistry |
| Authorized official | Fernandez, Shannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2019 |
| 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 | 1144876905 | NPPES |
| Washington | Other | 600304660 | BUSINESS LICENSE |
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