Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 118 S 2nd St, 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 |
---|---|
Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | 118 S 2nd St Yakima WA 98942 Ph: (509) 697-4827 |
NPI Number | 1275775645 |
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Provider Enumeration Date | 04/01/2009 |
Last Update Date | 04/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275775645 | NPI | - | NPPES |
7056898 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Washington) | 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 | |