Provider Demographics
NPI:1720584832
Name:WORKERS HEALTH OF YAKIMA, LLC
Entity Type:Organization
Organization Name:WORKERS HEALTH OF YAKIMA, LLC
Other - Org Name:OCCUPATIONAL HEALTH OF YAKIMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:RIGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-571-1010
Mailing Address - Street 1:306 HOLTON AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3208
Mailing Address - Country:US
Mailing Address - Phone:509-571-1010
Mailing Address - Fax:509-823-1788
Practice Address - Street 1:306 HOLTON AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3208
Practice Address - Country:US
Practice Address - Phone:509-833-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine