NPIMap

Organization Active NPI

DSHS/Dda/Yakima Valley School

  • Nursing Facility/Intermediate Care Facility
  • Selah, WA
National Provider Identifier
1639129695
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
DSHS/DDA/YAKIMA VALLEY SCHOOL
Practice address
609 Speyers Road
Selah, WA 98942-1050
Phone
(509) 698-1300
Fax
(509) 698-2230
NPI assigned
May 11, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mrs. Tammy K. Winegar, NURSING HOME ADMINIS
Title
Superintendent
Phone
(509) 698-1255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary
Skilled Nursing Facility 314000000X 342007865 WA

Addresses

Primary practice location

609 Speyers Road
Selah, WA 98942-1050

Mailing address

609 Speyers Road
Selah, WA 98942-1050
Phone (509) 698-1300

National Provider Directory

National Provider Directory
Tax ID family
South Kitsap School District16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

609 Speyers Rd
Selah, WA 98942
Phone (509) 225-6311

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1639129695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SPEYERS ROAD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421050",
            "telephone_number": "509-698-1300",
            "fax_number": "509-697-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SPEYERS ROAD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421050",
            "telephone_number": "509-698-1300",
            "fax_number": "509-698-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSHS/DDA/YAKIMA VALLEY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "WINEGAR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "509-698-1255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSING HOME ADMINIS"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "342007865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.