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YAKIMA VALLEY PROFESSIONAL SERVICES PC NPI 1003837121


NPI Information

NPI: 1003837121
Provider Name: YAKIMA VALLEY PROFESSIONAL SERVICES, PC

Doing Business As: FAMILY MEDICINE OF YAKIMA

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
504 N 40TH AVE
YAKIMA, WA
ZIP 98908
Phone: (509) 966-9480
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YAKIMA VALLEY PROFESSIONAL SERVICES, PC is a multi-specialty clinic center in Yakima, WA. YAKIMA VALLEY PROFESSIONAL SERVICES, PC NPI is 1003837121. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Of Yakima.

The provider's business location address is:

504 N 40TH AVE
YAKIMA, WA
ZIP 98908-311
Phone: (509) 966-9480
Fax: (509) 966-3283

The provider's authorized official is Caroline George .
The authorized official title is Director Of Finance and has the following contact phone number (509) 248-7849.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/21/2007.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1GAB33462MEDICARE PINWASHINGTON
27057052MEDICAIDWASHINGTON
3CK6415MEDICARE PINWASHINGTON

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

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