NPIMap

Organization Active NPI

Yakama Nation Comprehensive Community Alcoholism Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toppenish, WA
National Provider Identifier
1821141136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
39014200 Issued in WA
Legal business name
YAKAMA NATION COMPREHENSIVE COMMUNITY ALCOHOLISM PROGRAM
Practice address
20 Gunnyon Rd
Toppenish, WA 98948-0523
Phone
(509) 865-5121
Fax
(509) 865-4333
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia A. Ike
Title
Program Manager
Phone
(509) 865-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 39014200 WA Primary

Addresses

Primary practice location

20 Gunnyon Rd
Toppenish, WA 98948-0523

Mailing address

PO Box 523
20 Gunnyon Rd.
Toppenish, WA 98948-0523
Phone (509) 865-5121

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821141136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "address_2": "20 GUNNYON RD.",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480523",
            "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": "989480523",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKAMA NATION COMPREHENSIVE COMMUNITY ALCOHOLISM PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "509-865-5121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "39014200",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.