NPIMap

Organization Active NPI

Yakama Nation Ccap

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toppenish, WA
National Provider Identifier
1508110370
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
CP 00001456 Issued in WA
Legal business name
YAKAMA NATION CCAP
Practice address
20 Gunnyon Rd
Toppenish, WA 98948
Phone
(509) 865-5121
Fax
(509) 865-4333
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Ms. Judy A Shirley
Title
Admin. Assistant
Phone
(509) 865-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X CP 00001456 WA Primary

Addresses

Primary practice location

20 Gunnyon Rd
Toppenish, WA 98948

Mailing address

P.O. Box 151
20 Gunnyon Road
Toppenish, WA 98948
Phone (509) 865-5121

Other identifiers 1

IdentifierTypeStateIssuer
CP 00001456MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes and Bands of the Yakama Nation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1508110370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 151",
            "address_2": "20 GUNNYON ROAD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GUNNYON RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKAMA NATION CCAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMIN. ASSISTANT",
        "authorized_official_telephone_number": "509-865-5121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "CP 00001456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP 00001456",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.