Childrens Village Medical

LBN: Yakima Valley Farm Workers Clinic
Childrens Village Medical is an health care organization with primary practice located at 3801 Kern Way , Yakima WA 98902-6340. 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) 574-3221, or through Olivares, Juan Carlos via phone (509) 865-6175.

Contact Information

Primary practice address
3801 Kern Way Yakima WA 98902-6340
Phone: (509) 574-3221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olivares, Juan Carlos CEO
Phone: (509) 865-6175

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1801925003
LBN Legal business name Yakima Valley Farm Workers Clinic
DBA Doing business as Childrens Village Medical
Authorized official Olivares, Juan Carlos CEO
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 5th, 2007
Last updated Feb 12th, 2008 - about 16 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 1801925003 NPPES
Washington MEDICAID 7033913
Washington MEDICAID 7093560

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