NPIMap

Organization Active NPI

Yakima Neighborhood Health Services

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
National Provider Identifier
1972869063
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Practice address
1211 S 7TH St
Yakima, WA 98901-3509
Phone
(509) 454-4143
Fax
(509) 454-3651
NPI assigned
Apr 3, 2012
Organization subpart
Yes
Parent organization
YAKIMA NEIGHBORHOOD HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Rhonda HauffNPI 1073420238
Title
Chief Operating Officer/Deputy Ceo
Phone
(509) 454-4143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1211 S 7TH St
Yakima, WA 98901-3509

Mailing address

PO Box 2605
Yakima, WA 98907-2605
Phone (509) 454-4143

Other names 1

  • Henry Beauchamp Community Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000155 WA Part B Supplier - Clinic/Group Practice 6709786585 Receives reassigned benefits from 47 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yakima, WA; Sunnyside, WA; Selah, WA; Granger, WA
O20121023000327 WA Part A Provider - Federally Qualified Health Center (FQHC) 6709786585 Practice locations: Yakima, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972869063. Details of each certification follow.

Federally qualified health center certification: CCN 501945

Legal name
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 30, 2012
Last certification
Oct 30, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 6, 1979 in WA
Enrollment address
1211 S 7TH St
Yakima, WA 98901-3509

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Yakima Neighborhood22 organizations share this tax ID, including this one
Part of
Yakima Neighborhood

Other organizations with this tax ID 21

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

View all 21

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary K Kohlstadt-Huycke Individual Corporate DirectorBoard Member May 21, 2003
Everado Gonzalez Individual Corporate Director Sep 20, 2016
Rhonda Hauff Individual Corporate OfficerChief Operating Officer Sep 13, 2012
W-2 Managing EmployeeChief Operating Officer Sep 13, 2012
Carol Holden Individual Corporate DirectorBoard Member May 4, 2010
Kathi Bonlender Individual Corporate DirectorBoard Member May 4, 2010
Anita Monoian Individual 5% Or Greater Direct Ownership InterestCeo and President May 1, 1979 100%
Gregory Nebeker Individual Corporate DirectorBoard Member Oct 27, 2005
Edgar Hernandez Individual Corporate DirectorBoard Member Apr 14, 2004
Don Hinman Individual Corporate DirectorBoard Member May 6, 1980
Yolanda Garza Individual Corporate Director Sep 1, 2014
Nancy Kokenge Individual Corporate DirectorBoard Member May 9, 1995

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1972869063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2605",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072605",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S 7TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013509",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA NEIGHBORHOOD HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA NEIGHBORHOOD HEALTH SERVICES",
        "enumeration_date": "2012-04-03",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "HAUFF",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/DEPUTY CEO",
        "authorized_official_telephone_number": "509-454-4143"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Beauchamp Community Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.