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111 University Pkwy Suite 104 Yakima WA 98901-1471 | |
(509) 966-0675 | |
(509) 966-0675 |
Full Name | |
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Speciality | Clinic/Center |
Location | 111 University Pkwy, Yakima, Washington |
Authorized Official Name and Position | Jeanette Stromme (OWNER/DR.) |
Authorized Official Contact | 5099660675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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111 University Pkwy Suite 104 Yakima WA 98901-1471 Ph: (509) 966-0675 | 111 University Pkwy Suite 104 Yakima WA 98901-1471 Ph: (509) 966-0675 |
NPI Number | 1548595325 |
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Provider Enumeration Date | 10/12/2009 |
Last Update Date | 10/12/2009 |
Medicare PECOS PAC ID | 8921145087 |
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Medicare Enrollment ID | O20091021000677 |
Identifier | Type | State | Issuer |
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1548595325 | NPI | - | NPPES |
2030971 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 3993 (Washington) | Primary |
Provider Name | Jeanette M Stromme |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942325360 PECOS PAC ID: 1355371881 Enrollment ID: I20050815000980 |
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 | |