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402 S 12th Ave Yakima WA 98902-3115 | |
(509) 248-3263 | |
(509) 573-3818 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 402 S 12th Ave, Yakima, Washington |
Authorized Official Name and Position | Caroline George (DIRECTOR OF FINANCE) |
Authorized Official Contact | 5092487849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | 402 S 12th Ave Yakima WA 98902-3115 Ph: (509) 248-3263 |
NPI Number | 1356393383 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 11/21/2007 |
Identifier | Type | State | Issuer |
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1356393383 | NPI | - | NPPES |
7056922 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |