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616 Railroad Ave Suite 1 And 2 Zillah WA 98953-9426 | |
(509) 972-1190 | |
(509) 249-4458 |
Full Name | |
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Speciality | Clinic/center |
Location | 616 Railroad Ave, Zillah, Washington |
Authorized Official Name and Position | Timothy Reed (CFO, VP) |
Authorized Official Contact | 5092487849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3800 Summitview Ave Yakima WA 98902-2715 Ph: (509) 248-7849 | 616 Railroad Ave Suite 1 And 2 Zillah WA 98953-9426 Ph: (509) 972-1190 |
NPI Number | 1427429851 |
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Provider Enumeration Date | 10/12/2015 |
Last Update Date | 10/12/2015 |
Identifier | Type | State | Issuer |
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1427429851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 602902835 (Washington) | Primary |