NPIMap

Organization Active NPI

Yakima Valley Farm Workers Clinic

  • Community/Retail Pharmacy
  • Spokane, WA
National Provider Identifier
1831285162
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00057072 Issued in WA
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Practice address
120 W Mission Ave
Spokane, WA 99201-2322
Phone
(509) 323-8757
Fax
(509) 326-0739
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Glen Davis
Title
Coo
Phone
(509) 865-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00057072 WA Primary

Addresses

Primary practice location

120 W Mission Ave
Spokane, WA 99201-2322

Mailing address

2601 Commerce LN
Yakima, WA 98901-5801
Phone (509) 865-6175

Other identifiers 2

IdentifierTypeStateIssuer
1045864MedicaidWA
4929571OtherWANCPDP

Other names 1

  • Unify Community Health on Mission Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Milton Freewater Medica56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Practitioners & affiliated clinicians

Practitioners 1

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1831285162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 COMMERCE LN",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989015801",
            "telephone_number": "509-865-6175",
            "fax_number": "509-865-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MISSION AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012322",
            "telephone_number": "509-323-8757",
            "fax_number": "509-326-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-865-6175"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045864",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4929571",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unify Community Health on Mission",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unify Community Health on Mission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.