| Confederated Tribes & Bands Of The Yakama Nation | |
|
80 Birdsong Lane White Swan WA 98952 | |
| (509) 874-2979 | |
| (509) 874-2113 |
| Full Name | Confederated Tribes & Bands Of The Yakama Nation |
|---|---|
| Speciality | Clinic/center |
| Location | 80 Birdsong Lane, White Swan, Washington |
| Authorized Official Name and Position | Ellen M Swan (PROGRAM MANAGER) |
| Authorized Official Contact | 5098742979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Tribes & Bands Of The Yakama Nation 80 Birdsong Lane White Swan WA 98952 Ph: (509) 874-2979 | Confederated Tribes & Bands Of The Yakama Nation 80 Birdsong Lane White Swan WA 98952 Ph: (509) 874-2979 |
| NPI Number | 1558574541 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 07/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558574541 | NPI | - | NPPES |
| 7086150 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 252-11-2016 (Washington) | Primary |
| 363A00000X | Physician Assistant | (Washington) | Secondary |