Provider Demographics
NPI:1255400073
Name:FEMINIST WOMEN'S HEALTH CENTER
Entity type:Organization
Organization Name:FEMINIST WOMEN'S HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICE DIRECTOR
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:509-728-9037
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 1:1401-A MARTIN LUTHER KING JUNIOR WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-473-6031
Practice Address - Fax:253-475-5949
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEMINIST WOMEN'S HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-07
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600400690261QF0050X, 261QA0005X
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
WA7100142Medicaid
7804315OtherAETNA FACILITY NUMBER
218895OtherAETNA NON-HMO
1234CAOtherREGENCE