| Pacific Crest Family Medicine | |
|
311 S 72nd Ave Yakima WA 98908-1661 | |
| (509) 972-1818 | |
| (509) 972-7842 |
| Full Name | Pacific Crest Family Medicine |
|---|---|
| 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 |
|---|---|
| Pacific Crest Family Medicine Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | Pacific Crest Family Medicine 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 |
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