| Valley Vista Medical Group | |
|
820 Memorial St Suite 1 Prosser WA 99350-1526 | |
| (509) 786-1931 | |
| (509) 786-1997 |
| Full Name | Valley Vista Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 Memorial St, Prosser, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Vista Medical Group Po Box 190 Toppenish WA 98948-0190 Ph: (509) 786-1931 | Valley Vista Medical Group 820 Memorial St Suite 1 Prosser WA 99350-1526 Ph: (509) 786-1931 |
| NPI Number | 1891821013 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 01/19/2023 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20100816000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891821013 | NPI | - | NPPES |
| 41000 | Other | WA | LABOR AND INDUSTRIES |
| 7106131 | Medicaid | WA | |
| YA0023 | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Adventist Health Medical Group Prosser Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Chardonnay Ave Ste A, Prosser, WA 99350 Phone: 509-786-2002 Fax: 509-786-2026 | |
Prosser Clinic-prosser Memorial Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 Chardonnay Ave Ste A, Prosser, WA 99350 Phone: 509-786-1576 Fax: 509-786-1574 | |
Martin Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Scenic Dr, Prosser, WA 99350 Phone: 509-303-9570 | |
Astria Urgent Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 Chardonnay Ave, Prosser, WA 99350 Phone: 509-781-6366 Fax: 509-781-6367 |