| Yakima Primary Care, Pllc | |
|
1008 S. 38th Avenue Yakima WA 98902-0000 | |
| (509) 249-9045 | |
| (509) 249-5041 |
| Full Name | Yakima Primary Care, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1008 S. 38th Avenue, Yakima, Washington |
| Authorized Official Name and Position | Jim W Simmons (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5092487849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Primary Care, Pllc Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | Yakima Primary Care, Pllc 1008 S. 38th Avenue Yakima WA 98902-0000 Ph: (509) 249-9045 |
| NPI Number | 1902082340 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902082340 | NPI | - | NPPES |
| 7056898 | Medicaid | WA | |
| 7057060 | Medicaid | WA | |
| 7055643 | Medicaid | WA | |
| 7057045 | Medicaid | WA | |
| 7056930 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD00020754 (Washington) | Primary |
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