YAKIMA PRIMARY CARE PLLC NPI 1902082340

NPI Information

NPI: 1902082340
Provider Name: YAKIMA PRIMARY CARE, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1008 S. 38TH AVENUE
YAKIMA, WA
ZIP 98902
Phone: (509) 249-9045
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YAKIMA PRIMARY CARE, PLLC is a general practice in Yakima, WA. YAKIMA PRIMARY CARE, PLLC NPI is 1902082340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1008 S. 38TH AVENUE
YAKIMA, WA
ZIP 98902-000
Phone: (509) 249-9045
Fax: (509) 249-5041

The provider's authorized official is Jim W Simmons .
The authorized official title is Director Of Operations and has the following contact phone number (509) 248-7849.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/6/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		MD00020754	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7057060	MEDICAID	WASHINGTON
2	GAB33468	MEDICARE PIN	WASHINGTON
3	CK5633	MEDICARE PIN	WASHINGTON
4	7055643	MEDICAID	WASHINGTON
5	7056898	MEDICAID	WASHINGTON
6	7056930	MEDICAID	WASHINGTON
7	7057045	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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