# SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL WASHINGTON REHABILITATION CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982123394
- **Authorized official:** MATHEW MATHIESEN (CFO)
- **Authorized official phone:** (509) 837-1356

## Contact information

- **Practice address:** 111 S 11TH AVE STE 321, YAKIMA, WA 98902-3273
- **Practice address phone:** (509) 575-5071
- **Practice address fax:** (509) 454-6398
- **Mailing address:** PO BOX 22004, BELFAST, ME 04915-4117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 10/10/2024