Family Medical Center

LBN: Yakima Valley Farm Workers Clinic
Family Medical Center is an health care organization with primary practice located at 1120 W Rose St , Walla Walla WA 99362-1662. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Yakima Valley Farm Workers Clinic can be contacted via phone (509) 526-6967, or through Davis, Glen via phone (509) 865-6175.

Contact Information

Primary practice address
1120 W Rose St Walla Walla WA 99362-1662
Phone: (509) 526-6967
Fax: (509) 526-6968
Website:
Map and Directions
Authorized official contact:
Name: Davis, Glen
Phone: (509) 865-6175

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF000055923 Washington

Profile Details

NPI number 1740376078
LBN Legal business name Yakima Valley Farm Workers Clinic
DBA Doing business as Family Medical Center
Authorized official Davis, Glen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 30th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740376078 NPPES
Washington MEDICAID 6020192
Washington Other 4925840

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