| Yakima Neighborhood Health Services | |
|
112 Main Street Granger WA 98932 | |
| (509) 383-6172 | |
| (509) 383-6173 |
| Full Name | Yakima Neighborhood Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Main Street, Granger, Washington |
| Authorized Official Name and Position | Anita Monoian (PRESIDENT/CEO) |
| Authorized Official Contact | 5094544143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Neighborhood Health Services Po Box 2605 Yakima WA 98907-2605 Ph: (509) 454-4143 | Yakima Neighborhood Health Services 112 Main Street Granger WA 98932 Ph: (509) 383-6172 |
| NPI Number | 1134572548 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 08/30/2016 |
| Medicare PECOS PAC ID | 6709786585 |
|---|---|
| Medicare Enrollment ID | O20161012002907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134572548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Granger Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Main Street, Granger, WA 98932 Phone: 509-454-4143 | |
Granger Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Sunnyside Avenue, Granger, WA 98932 Phone: 509-865-6175 | |
Yakima Neighborhood Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Main Street, Granger, WA 98932 Phone: 509-454-4143 |