Full Name | |
---|---|
Speciality | Clinic/center |
Location | 311 S. 72nd Ave, Yakima, Washington |
Authorized Official Name and Position | Jim Simmons (DIRECTOR OF FINANCE) |
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 Ph: (509) 972-1818 |
NPI Number | 1760411912 |
---|---|
Provider Enumeration Date | 07/01/2006 |
Last Update Date | 08/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760411912 | NPI | - | NPPES |
7091168 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD00027321 (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 | |