Catholic Charities Of The Diocese Of Yakima | |
5301 Tieton Dr Ste C Yakima WA 98908-3478 | |
(509) 965-7100 | |
(509) 966-9750 |
Full Name | Catholic Charities Of The Diocese Of Yakima |
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Speciality | Community/Behavioral Health |
Location | 5301 Tieton Dr Ste C, Yakima, Washington |
Authorized Official Name and Position | Darlene Elaine Darnell (CEO) |
Authorized Official Contact | 5099657100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catholic Charities Of The Diocese Of Yakima 5301 Tieton Dr Suite C Yakima WA 98908-3478 Ph: (509) 965-7100 | Catholic Charities Of The Diocese Of Yakima 5301 Tieton Dr Ste C Yakima WA 98908-3478 Ph: (509) 965-7100 |
NPI Number | 1316248149 |
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Provider Enumeration Date | 11/10/2010 |
Last Update Date | 05/23/2024 |
Certification Date | 05/23/2024 |
Medicare PECOS PAC ID | 2163594797 |
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Medicare Enrollment ID | O20140326000430 |
Identifier | Type | State | Issuer |
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1316248149 | NPI | - | NPPES |
1980028 | Medicaid | WA |
Provider Name | Marie Carmel Desire |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922058783 PECOS PAC ID: 1355384595 Enrollment ID: I20050608000341 |
Provider Name | Debra Rice |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053782102 PECOS PAC ID: 6305141151 Enrollment ID: I20160216002625 |
Provider Name | Jason M Guest |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649642778 PECOS PAC ID: 7618250085 Enrollment ID: I20170208002538 |
Provider Name | Kerry Scott Nelson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316485998 PECOS PAC ID: 2062797814 Enrollment ID: I20170318000253 |
Provider Name | Terri L. Brummet |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881999001 PECOS PAC ID: 9537427190 Enrollment ID: I20180103002165 |
Provider Name | Benjamin C Shuts |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427389469 PECOS PAC ID: 7113270968 Enrollment ID: I20181025001195 |
Provider Name | Carolyn Suzanne Berg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093222556 PECOS PAC ID: 5890183115 Enrollment ID: I20211019001660 |
Provider Name | Mihaela G Corteza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992369243 PECOS PAC ID: 1658768502 Enrollment ID: I20220520000143 |
Provider Name | Misty Leigh Hinkle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164190799 PECOS PAC ID: 0345621991 Enrollment ID: I20231201002686 |
Provider Name | Sara Ann Van Horn |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598175879 PECOS PAC ID: 0143660258 Enrollment ID: I20240506001906 |
Provider Name | Michelle Hayes Ferber |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1336676543 PECOS PAC ID: 0547602344 Enrollment ID: I20240524001339 |
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