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MEMORIAL PHYSICIANS PLLC NPI 1063725851


NPI Information

NPI: 1063725851
Provider Name: MEMORIAL PHYSICIANS, PLLC

Doing Business As: YAKIMA INTERNAL MEDICINE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3003 TIETON DR
STE 350
YAKIMA, WA
ZIP 98902
Phone: (509) 453-3765
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MEMORIAL PHYSICIANS, PLLC is a clinic center in Yakima, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MEMORIAL PHYSICIANS, PLLC NPI is 1063725851. The provider is registered as an organization entity type.
The provider Is Doing Business As Yakima Internal Medicine.

The provider's business location address is:

3003 TIETON DR
STE 350
YAKIMA, WA
ZIP 98902-679
Phone: (509) 453-3765
Fax: (509) 225-2709

The provider's authorized official is Timothy Reed .
The authorized official title is Chief Operating Officer and has the following contact phone number (509) 248-7849.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 11/25/2013.


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
1261Q00000XClinic/CenterMD00022161WASHINGTONYes

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
1DQ2512OTHERWASHINGTONRAILROAD MEDICARE

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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