MEDICAL ASSOCIATES OF YAKIMA LLC NPI 1811169642

NPI Information

NPI: 1811169642
Provider Name: MEDICAL ASSOCIATES OF YAKIMA, LLC

Doing Business As: SELAH FAMILY MEDICINE CLINIC INC., PS

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

Specialization: Multi-Specialty

Address:
202 W NACHES AVE
SELAH, WA
ZIP 98942
Phone: (509) 697-5511
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MEDICAL ASSOCIATES OF YAKIMA, LLC is a multi-specialty clinic center in Selah, WA. MEDICAL ASSOCIATES OF YAKIMA, LLC NPI is 1811169642. The provider is registered as an organization entity type.
The provider Is Doing Business As Selah Family Medicine Clinic Inc., Ps.

The provider's business location address is:

202 W NACHES AVE
SELAH, WA
ZIP 98942-326
Phone: (509) 697-5511
Fax: (509) 697-9313

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 4/1/2008 and was last updated on 6/20/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			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	CK5633	MEDICARE PIN	WASHINGTON
3	GAB33468	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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