Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 12 S 8th St, Yakima, Washington |
Authorized Official Name and Position | Rhonda Hauff (PRIMARY CARE ADMINISTRATOR) |
Authorized Official Contact | 5094544143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 2605 Yakima WA 98907-2605 Ph: (509) 454-4143 | 12 S 8th St Yakima WA 98901-3020 Ph: (509) 454-4243 |
NPI Number | 1285771204 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 07/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285771204 | NPI | - | NPPES |
7404577 | Medicaid | WA |
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 | |