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YAKIMA MEDICAL CLINIC INC PC NPI 1316079585


NPI Information

NPI: 1316079585
Provider Name: YAKIMA MEDICAL CLINIC INC PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 50D0875685

Address:
310 HOLTON AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 452-2508
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YAKIMA MEDICAL CLINIC INC PC is a preferred provider organization in Yakima, WA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. YAKIMA MEDICAL CLINIC INC PC NPI is 1316079585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 HOLTON AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 452-2508
Fax: (509) 452-7316

The provider's authorized official is T Kent Vye .
The authorized official title is President and has the following contact phone number (509) 452-2508.

The CLIA number assigned to this NPI record is 50D0875685 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0P00001175WASHINGTONNo
2305R00000XPreferred Provider Organization0P00001175WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E08911MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.