Provider Demographics
NPI:1245206507
Name:FEMINIST WOMEN'S HEALTH CENTER
Entity Type:Organization
Organization Name:FEMINIST WOMEN'S HEALTH CENTER
Other - Org Name:CEDAR RIVER CLINICS - RENTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PACKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-728-9036
Mailing Address - Street 1:106 E E ST
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2312
Mailing Address - Country:US
Mailing Address - Phone:509-575-6473
Mailing Address - Fax:509-575-0477
Practice Address - Street 1:601 S CARR RD STE 200
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5866
Practice Address - Country:US
Practice Address - Phone:425-255-0473
Practice Address - Fax:425-255-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600400690261QA0005X, 261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7038342Medicaid
7003331OtherAETNA FACILITY NUMBER
CE9631OtherREGENCE
218895OtherAETNA NON-HMO
WA600400690OtherUNIFIED BUSINESS ID