Active NPI
Yakima Health District
- Public Health or Welfare Agency
- Union Gap, WA
National Provider Identifier
1396142816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- YAKIMA HEALTH DISTRICT
- Practice address
- 1210 Ahtanum Ridge Dr
Union Gap, WA 98903-1813 - Phone
- (509) 575-4040
- Fax
- (509) 249-6628
- NPI assigned
- Nov 26, 2014
- Last updated
- Nov 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre Fresco
- Title
- Administrator
- Phone
- (509) 249-6666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1210 Ahtanum Ridge Dr
Union Gap, WA 98903-1813
Mailing address
1210 Ahtanum Ridge Dr
Union Gap, WA 98903-1813
Phone (509) 575-4040
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2050977 | Yakima Health District | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1210 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 575-4040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Registered Nurse
- Union Gap, WA
- NPI 1295662245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416960000000",
"number": "1396142816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 AHTANUM RIDGE DR",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031813",
"telephone_number": "509-575-4040",
"fax_number": "509-249-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 AHTANUM RIDGE DR",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031813",
"telephone_number": "509-575-4040",
"fax_number": "509-249-6628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAKIMA HEALTH DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A",
"authorized_official_last_name": "FRESCO",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "509-249-6666",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union Gap, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.