SUNDOWN M RANCH
NPI 1154474104
Substance Abuse Rehabilitation Facility in Yakima, WA

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since January 20, 2007CLIA 50D2201949 · Waiver

2280 STATE ROUTE 821, YAKIMA, WA 98901(509) 457-0990 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2022, Jan 14, 2021, Oct 29, 2020 (3 updates tracked since 2020).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
CLIA Information
Other Providers Same Location
Frequently Asked Questions

Organization
Substance Abuse Rehabilitation Facility
Accepts Insurance
CLIA Number: 50D2201949
CLIA Cert. Type: Other - DRUG TREATMENT
CLIA Exp. Date: 04-04-2028

About SUNDOWN M RANCH

This page provides the complete NPI Profile along with additional information for Sundown M Ranch, a provider established in Yakima, Washington operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1154474104 assigned on January 2007. The practitioner's primary taxonomy code is 324500000X with license number RTF-1064 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mark Loes Supd, Mba (Director Of Operations)

NPI: 1154474104 Verify this NPI
Provider Name: SUNDOWN M RANCH
Entity Type: Organization
Location Address: 2280 STATE ROUTE 821 YAKIMA, WA 98901
Location Phone: (509) 457-0990
Mailing Address: PO BOX 217 SELAH, WA 98942
Mailing Phone: (509) 457-0990
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-20-2007
Last Update Date: 08-23-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Substance Abuse Rehabilitation Facility
Taxonomy Code: 324500000X
Type: Residential Treatment Facilities
License No.: RTF-1064
License State: WA
Taxonomy Description: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	251B00000X	Agencies	Case Management	RTF-1064 (WA)
2	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center Rehabilitation, Substance Use Disorder	RTF-1064 (WA)
3	3245S0500X	Residential Treatment Facilities	Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children	RTF-1064 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000 - EPO
Moda Health Affinity Bronze 9000 - EPO
Moda Health Affinity Bronze HDHP 7500 - EPO
Moda Health Affinity Gold 1000 - EPO
Moda Health Affinity Gold 1500 - EPO
Moda Health Affinity Gold 250 - EPO
Moda Health Affinity Silver 3000 - EPO
Moda Health Affinity Silver 3400 - EPO
Moda Health Affinity Silver 4500 - EPO
Moda Health Affinity Silver 6000 - EPO
Moda Health Oregon Standard Bronze Affinity - EPO
Moda Health Oregon Standard Gold Affinity - EPO
Moda Health Oregon Standard Silver Affinity - EPO

PacificSource Health Plans

Core Bronze HSA 10600 - EPO
Core Bronze HSA 7500 - EPO
Core Bronze HSA 8300 - EPO
Core Gold 1500 - EPO
Core Gold 3000 - EPO
Core Silver 3500 - EPO
Core Silver 4500 - EPO
Core Silver 5000 - EPO
Core Silver 7500 - EPO
Core Standard Expanded Bronze HSA - EPO
Core Standard Gold - EPO
Core Standard Silver - EPO
PacificSource Oregon Standard Bronze HSA Plan Core - EPO
PacificSource Oregon Standard Gold Plan Core - EPO
PacificSource Oregon Standard Silver Plan Core - EPO

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold - PPO
Premera Blue Cross Preferred Bronze 5800 HSA - PPO
Premera Blue Cross Preferred Bronze 6350 - PPO
Premera Blue Cross Preferred Gold 1500 - PPO
Premera Blue Cross Preferred Silver 4500 - PPO
Premera Blue Cross Standard Bronze II - PPO
Premera Blue Cross Standard Gold - PPO
Premera Blue Cross Standard Silver - PPO
Premera Blue Cross Family Dental - PPO
Premera Blue Cross Pediatric Dental - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MARK LOES SUPD, MBA
Authorized Official Title: DIRECTOR OF OPERATIONS
Authorized Official Phone: (509) 969-0092

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1003772	MEDICAID (05)	WA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 50D2201949
Facility Type: Other - DRUG TREATMENT
Certificate Effective Date: November 24, 2020
Certificate Expiration Date: April 04, 2028
Laboratory Director: GREG REHMANN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Sundown M Ranch to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.