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504 N 40th Ave Yakima WA 98908-4311 | |
(509) 966-9480 | |
(509) 966-3283 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 504 N 40th 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 | 504 N 40th Ave Yakima WA 98908-4311 Ph: (509) 966-9480 |
NPI Number | 1003837121 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 11/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003837121 | NPI | - | NPPES |
7057052 | 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 | |