Organization
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Active
Other names
Sunnyside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA HAUFF (PRIMARY CARE ADMINISTRATOR)
(509) 454-4143
Entity
Organization
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
(509) 454-3651
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
(509) 454-3651
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5022033
—
WA
Enumeration date
07/26/2007
Last updated
07/26/2007
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