NPIMap

Organization Active NPI

Yakima Valley Council on Alcoholism

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Yakima, WA
National Provider Identifier
1306050372
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
YAKIMA VALLEY COUNCIL ON ALCOHOLISM
Practice address
120 S. 3Rd Street
Yakima, WA 98901-1623
Phone
(509) 248-1800
Fax
(509) 576-3076
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 Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

120 S. 3Rd Street
Yakima, WA 98901-1623

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1990175MedicaidWA

Other names 1

  • Triumph Treatment Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2203420Triumph Treatment Services - Main120 S 3Rd St, Yakima, WA 98901Certificate of waiverApr 4, 2028

National Provider Directory

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

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": "1306050372",
    "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": "120 S. 3RD STREET",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011623",
            "telephone_number": "509-248-1800",
            "fax_number": "509-576-3076"
        }
    ],
    "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990175",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumph Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triumph Treatment Services",
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.