Mirasol Family Health Center Pharmacy

LBN: Yakima Valley Farm Workers Clinic
Mirasol Family Health Center Pharmacy is an health care organization with primary practice located at 589 Nw 11Th St , Hermiston OR 97838-6600. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Yakima Valley Farm Workers Clinic can be contacted via phone (541) 564-5176, or through Davis, Glen via phone (509) 865-6175.

Contact Information

Primary practice address
589 Nw 11Th St Hermiston OR 97838-6600
Phone: (541) 564-5176
Fax: (541) 567-6860
Website:
Map and Directions
Authorized official contact:
Name: Davis, Glen
Phone: (509) 865-6175

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285290924
LBN Legal business name Yakima Valley Farm Workers Clinic
DBA Doing business as Mirasol Family Health Center Pharmacy
Authorized official Davis, Glen
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2019
Last updated Jun 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285290924 NPPES
Oregon Other 3846586 NCPDP

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