NPIMap

Organization Active NPI

Yakima Indian Nation

  • Health Service Clinic/Center
  • White Swan, WA
National Provider Identifier
1710175724
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PA10002016 Issued in WA
Legal business name
YAKIMA INDIAN NATION
Practice address
520 Signal Peak Road
White Swan, WA 98952-0693
Phone
(509) 874-2979
Fax
(509) 874-2113
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Mrs. Ellen Swan, EMT
Title
EMS Cordanator
Phone
(509) 874-2979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PA10002016 WA Primary

Addresses

Primary practice location

520 Signal Peak Road
White Swan, WA 98952-0693

Mailing address

520 Signal Peak Road
White Swan, WA 98952
Phone (509) 874-2979

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1710175724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SIGNAL PEAK ROAD",
            "city": "WHITE SWAN",
            "state": "WA",
            "postal_code": "98952",
            "telephone_number": "509-874-2979",
            "fax_number": "509-874-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SIGNAL PEAK ROAD",
            "city": "WHITE SWAN",
            "state": "WA",
            "postal_code": "989520693",
            "telephone_number": "509-874-2979",
            "fax_number": "509-874-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA INDIAN NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "EMS CORDANATOR",
        "authorized_official_telephone_number": "509-874-2979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "PA10002016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Swan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.