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212 S 6th Ave Yakima WA 98902-3303 | |
(509) 494-6700 | |
(509) 573-6275 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 212 S 6th Ave, Yakima, Washington |
Authorized Official Name and Position | Angela Gonzalez (CEO) |
Authorized Official Contact | 5094946700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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501 S 5th Ave Yakima WA 98902-3550 Ph: (509) 494-6700 | 212 S 6th Ave Yakima WA 98902-3303 Ph: (509) 494-6700 |
NPI Number | 1003398892 |
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Provider Enumeration Date | 08/29/2018 |
Last Update Date | 10/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003398892 | NPI | - | NPPES |
7118276 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QS1000X | Clinic/center - Student Health | (* (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 | |