Lincoln Avenue Dental Clinic
LBN: Yakima Valley Farm Workers Clinic
Lincoln Avenue Dental Clinic is an health care organization with primary practice located at 2205 W Lincoln Ave , Yakima WA 98902-2437. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Yakima Valley Farm Workers Clinic can be contacted via phone (509) 575-3399, or through Fernandez, Shannon via phone (509) 865-6175.
Contact Information
Primary practice address
2205 W Lincoln Ave
Yakima WA 98902-2437
Phone: (509) 575-3399
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1194854398 |
---|---|
LBN Legal business name | Yakima Valley Farm Workers Clinic |
DBA Doing business as | Lincoln Avenue Dental Clinic |
Authorized official | Fernandez, Shannon |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Mar 5th, 2007 |
Last updated | Nov 1st, 2022 - about 2 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 | 1194854398 | NPPES |
Washington | MEDICAID | 5010871 |
Popular Providers
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