| Central Washington Family Medicine | |
|
1806 W Lincoln Ave Yakima WA 98902-2473 | |
| (509) 452-4520 | |
| (509) 452-5224 |
| Full Name | Central Washington Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1806 W Lincoln Ave, Yakima, Washington |
| Authorized Official Name and Position | Angela Gonzalez (CEO) |
| Authorized Official Contact | 5094946700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Washington Family Medicine 501 S 5th Ave Yakima WA 98902-3550 Ph: (509) 494-6700 | Central Washington Family Medicine 1806 W Lincoln Ave Yakima WA 98902-2473 Ph: (509) 452-4520 |
| NPI Number | 1700097706 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 4183536931 |
|---|---|
| Medicare Enrollment ID | O20031022000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700097706 | NPI | - | NPPES |
| 7118276 | Medicaid | WA | |
| 31820 | Other | WA | LABOR & INDUSTRIES |
| 8932819 | Other | WA | CRIME VICTIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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