| Cornerstone Medical Clinic | |
|
402 S 12th Ave Yakima WA 98902-3115 | |
| (509) 248-3263 | |
| (509) 573-3818 |
| Full Name | Cornerstone Medical Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 402 S 12th Ave, Yakima, Washington |
| Authorized Official Name and Position | Jim W Simmons (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5092487849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Clinic Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | Cornerstone Medical Clinic 402 S 12th Ave Yakima WA 98902-3115 Ph: (509) 248-3263 |
| NPI Number | 1194967562 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194967562 | NPI | - | NPPES |
| 7056922 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Washington) | Primary |
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