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102 S Naches Ave Yakima WA 98901-2947 | |
(509) 834-2098 | |
(509) 454-4115 |
Full Name | |
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Speciality | Clinic/Center |
Location | 102 S Naches Ave, Yakima, Washington |
Authorized Official Name and Position | Rhonda Hauff (PRIMARY CARE ADMINISTRATOR) |
Authorized Official Contact | 5094544143 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2605 Yakima WA 98907-2605 Ph: (509) 454-4143 | 102 S Naches Ave Yakima WA 98901-2947 Ph: (509) 834-2098 |
NPI Number | 1972711018 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 6709786585 |
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Medicare Enrollment ID | O20060804000167 |
Identifier | Type | State | Issuer |
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1972711018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |