Provider Demographics
NPI:1386608560
Name:NEW HEALTH PROGRAMS ASSOCIATION
Entity type:Organization
Organization Name:NEW HEALTH PROGRAMS ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DAMIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-935-6001
Mailing Address - Street 1:141 3RD AVE
Mailing Address - Street 2:PO BOX 1384
Mailing Address - City:ORIENT
Mailing Address - State:WA
Mailing Address - Zip Code:99160-9418
Mailing Address - Country:US
Mailing Address - Phone:509-684-5521
Mailing Address - Fax:509-684-1464
Practice Address - Street 1:141 THIRD AVE
Practice Address - Street 2:
Practice Address - City:ORIENT
Practice Address - State:WA
Practice Address - Zip Code:99160-9418
Practice Address - Country:US
Practice Address - Phone:509-684-5521
Practice Address - Fax:509-684-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAJ600317870261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7034135Medicaid
WA80300OtherLABOR AND INDUSTRIES ID
WA7034473Medicaid
WA80300OtherLABOR AND INDUSTRIES ID
WA7034473Medicaid