NPIMap

Organization Active NPI

Verdura Family Wellness, Inc

Doing business as Verdura Yamhill Carlton SBHC

  • Student Health Clinic/Center
  • Yamhill, OR
National Provider Identifier
1629332333
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
VERDURA FAMILY WELLNESS, INC
Doing business as
Verdura Yamhill Carlton SBHC
Practice address
120 Larch PL
Yamhill, OR 97148-2007
Phone
(503) 648-8210
Fax
(503) 648-8283
NPI assigned
Jun 27, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Sara Miller
Title
VP, Practice Manager
Phone
(503) 648-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

120 Larch PL
Yamhill, OR 97148-2007

Mailing address

120 Larch PL
Yamhill, OR 97148-2007
Phone (503) 648-8210

Other names 1

  • Verdura Yamhill Carlton SBHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Verdura Family Wellness Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

120 N Larch Pl
Yamhill, OR 97148
Phone (503) 852-6960

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1629332333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LARCH PL",
            "city": "YAMHILL",
            "state": "OR",
            "postal_code": "971482007",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LARCH PL",
            "city": "YAMHILL",
            "state": "OR",
            "postal_code": "971482007",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDURA FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "VP, PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-648-8210"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verdura Yamhill Carlton SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yamhill, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.