WHITE SWAN DENTAL CLNIC – NPI #1245378389
Clinic/Center

WHITE SWAN DENTAL CLNIC is an AHC clinic located in WHITE SWAN, WA. NPPES has assigned the NPI number 1245378389 to WHITE SWAN DENTAL CLNIC on February 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. WHITE SWAN DENTAL CLNIC is also known by the name IHS YAKAMA SERVICE UNIT. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WHITE SWAN DENTAL CLNIC below.

NPI Profile for
WHITE SWAN DENTAL CLNIC

NPI Number
1245378389
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WHITE SWAN DENTAL CLNIC
Other Name: IHS YAKAMA SERVICE UNIT
Primary location
62 BIRD SONG LANE
WHITE SWAN, WA 98952
Phone: (509) 874-2028 Fax:
Mailing address
PO BOX 693
WHITE SWAN, WA 87841
Phone: (509) 865-2102 Fax: (509) 865-4986
Organization Subpart
Yes - WHITE SWAN DENTAL CLNIC is subpart of another organization.
Authorized Official
JAY SAMPSON
CEO
Phone: (509) 865-2102
Updated
Identifiers

Identifiers for WHITE SWAN DENTAL CLNIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherLABOR & INDSTRY MED #WA21940
otherLABOR & INDSTRY RX #WA51239
medicaidWA7100506
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.