Organization Active NPI

Yakima Health District

  • Public Health or Welfare Agency
  • Union Gap, WA
National Provider Identifier
1396142816
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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)CodeLicenseStatePrimary
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 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
50D2050977Yakima Health District1210 Ahtanum Ridge Dr, Yakima, WA 98903Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.