1245206507 NPI number — FEMINIST WOMEN'S HEALTH CENTER

Table of content: (NPI 1245206507)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245206507 NPI number — FEMINIST WOMEN'S HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FEMINIST WOMEN'S HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CEDAR RIVER CLINICS - RENTON
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245206507
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 E E ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YAKIMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98901-2312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-575-6473
Provider Business Mailing Address Fax Number:
509-575-0477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 S CARR RD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RENTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98055-5866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-255-0473
Provider Business Practice Location Address Fax Number:
425-255-0262
Provider Enumeration Date:
02/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PACKARD
Authorized Official First Name:
DARLENE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCE AND ADMIN
Authorized Official Telephone Number:
509-728-9036

Provider Taxonomy Codes

  • Taxonomy code: 261QA0005X , with the licence number:  600400690 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QF0050X , with the licence number: 600400690 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7038342 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7003331 . This is a "AETNA FACILITY NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: CE9631 . This is a "REGENCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 218895 . This is a "AETNA NON-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 600400690 . This is a "UNIFIED BUSINESS ID" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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