Provider Demographics
NPI:1942294871
Name:YAKIMA VALLEY CHIROPRACTIC CENTER PS
Entity type:Organization
Organization Name:YAKIMA VALLEY CHIROPRACTIC CENTER PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-837-2600
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-0054
Mailing Address - Country:US
Mailing Address - Phone:509-837-2600
Mailing Address - Fax:509-837-2291
Practice Address - Street 1:1120 S 4TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-2185
Practice Address - Country:US
Practice Address - Phone:509-837-2600
Practice Address - Fax:509-837-2291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YAKIMA VALLEY CHIROPRACTIC CENTER PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-07
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
115116501OtherRAILROAD MEDICARE
WA8921561OtherCRIME VICTOMS COMP PROGRA
WA129386OtherDEPT OF LABOR & INDUSTR.