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YAKIMA PRIMARY CARE PLLC NPI 1275547002


NPI Information

NPI: 1275547002
Provider Name: YAKIMA PRIMARY CARE, PLLC

Doing Business As: YAKIMA INTERNAL MEDICINE SPECIALIST

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

Specialization: Multi-Specialty

CLIA Number: 50D2293182

Address:
3003 TIETON DR
SUITE 320
YAKIMA, WA
ZIP 98902
Phone: (509) 452-3765
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YAKIMA PRIMARY CARE, PLLC is a multi-specialty clinic center in Yakima, WA. YAKIMA PRIMARY CARE, PLLC NPI is 1275547002. The provider is registered as an organization entity type.
The provider Is Doing Business As Yakima Internal Medicine Specialist.

The provider's business location address is:

3003 TIETON DR
SUITE 320
YAKIMA, WA
ZIP 98902-679
Phone: (509) 452-3765
Fax: (509) 452-3435

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 CLIA number assigned to this NPI record is 50D2293182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 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
1GAB33468MEDICARE PINWASHINGTON
2CK5633MEDICARE PINWASHINGTON
37057045MEDICAIDWASHINGTON

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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