| |
311 S 72nd Ave Yakima WA 98908-1661 | |
(509) 972-1818 | |
(509) 972-7842 |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 311 S 72nd Ave, Yakima, Washington |
Authorized Official Name and Position | Jim W Simmons (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5092487849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | 311 S 72nd Ave Yakima WA 98908-1661 Ph: (509) 972-1818 |
NPI Number | 1609018076 |
---|---|
Provider Enumeration Date | 04/01/2009 |
Last Update Date | 04/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609018076 | NPI | - | NPPES |
7091168 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Washington) | 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 | |