NPIMap

Organization Active NPI

Yakima Neighborhood Health Services

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
National Provider Identifier
1558052563
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Practice address
9 S 6TH St
Yakima, WA 98901-2963
Phone
(509) 454-4143
NPI assigned
May 19, 2023
Organization subpart
Yes
Parent organization
YAKIMA NEIGHBORHOOD HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Cindy Meyers
Title
Credentialing Specialist
Phone
(509) 454-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

9 S 6TH St
Yakima, WA 98901-2963

Mailing address

PO Box 2605
Yakima, WA 98907-2605
Phone (509) 454-4143

Other names 1

  • Yakima Neighborhood Health Services Education Training Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230914000895 WA Part A Provider - Federally Qualified Health Center (FQHC) 6709786585 Practice locations: Yakima, WA

Federally qualified health center certification: CCN 501032

Legal name
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 13, 2023
Last certification
Sep 13, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1976 in WA
Enrollment address
9 S 6TH St
Yakima, WA 98901-2963

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Yakima Neighborhood Health22 organizations share this tax ID, including this one
Part of
Yakima Neighborhood Health

Other organizations with this tax ID 21

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

View all 21

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Everado Gonzalez Individual Corporate Director Jan 1, 2016
Rhonda Hauff Individual Corporate Officer Oct 1, 2020 100%
W-2 Managing Employee Oct 1, 2020
Jocelyn Pedrosa Individual Corporate Officer Oct 1, 2020
Jason Kildall Individual Corporate Director Jan 1, 2021
Carol Holden Individual Corporate Director Jan 1, 2010
Simon Verduzco Individual Corporate Director Jan 1, 2021
Manuel Pedrosa Individual Corporate Officer Oct 1, 2020
Laraine Rising Individual Corporate Officer Oct 1, 2020
Kathi Bonlender Individual Corporate Director Jan 1, 2010
Christina Newman Individual Corporate Officer Oct 1, 2020
Brett Miller Individual Corporate Officer Oct 1, 2020
Michelle Sullivan Individual Corporate Officer Oct 1, 2020
Gregory Nebeker Individual Corporate Director Jan 1, 2005
Don Hinman Individual Corporate Director Jan 1, 1980
Yolanda Garza Individual Corporate Director Jan 1, 2014
Nancy Kokenge Individual Corporate Director Jan 1, 1995

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1558052563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2605",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072605",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S 6TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012963",
            "telephone_number": "509-454-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA NEIGHBORHOOD HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA NEIGHBORHOOD HEALTH SERVICES",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-454-4143"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Neighborhood Health Services Education Training Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.