Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1515 W Yakima Ave, Yakima, Washington |
Authorized Official Name and Position | Timothy Reed (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 5092497849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3800 Summitview Ave Yakima WA 98902-2715 Ph: (509) 248-7849 | 1515 W Yakima Ave Yakima WA 98902 Ph: (509) 574-3863 |
NPI Number | 1699257113 |
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Provider Enumeration Date | 08/31/2018 |
Last Update Date | 07/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699257113 | NPI | - | NPPES |
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 | |