NPIMap

Organization Active NPI

Yakima Valley Council on Alcoholism

  • Substance Abuse Rehabilitation Facility
  • Yakima, WA
National Provider Identifier
1245444223
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
YAKIMA VALLEY COUNCIL ON ALCOHOLISM
Doing business as
Yakima Valley Council on Alcoholism
Practice address
605 Superior Lane
Yakima, WA 98902-1623
Phone
(509) 853-4173
Fax
(509) 248-4790
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
YAKIMA VALLEY COUNCIL ON ALCOHOLISMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jolene Seda
Title
Ceo
Phone
(509) 853-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

605 Superior Lane
Yakima, WA 98902-1623

Mailing address

PO Box 2849
Yakima, WA 98907-2849
Phone (509) 248-1800

Other identifiers 1

IdentifierTypeStateIssuer
1994391MedicaidWA

Other names 1

  • Yakima Valley Council on Alcoholism Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yakima Valley Council on Alcoholism7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1245444223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2849",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072849",
            "telephone_number": "509-248-1800",
            "fax_number": "509-576-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SUPERIOR LANE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021623",
            "telephone_number": "509-853-4173",
            "fax_number": "509-248-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY COUNCIL ON ALCOHOLISM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY COUNCIL ON ALCOHOLISM",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "SEDA",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-853-4121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994391",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Valley Council on Alcoholism",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yakima Valley Council on Alcoholism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.