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MEMORIAL PRACTICE MANAGEMENT LLC NPI 1851533228


NPI Information

NPI: 1851533228
Provider Name: MEMORIAL PRACTICE MANAGEMENT, LLC

Doing Business As: YAKIMA INTERNAL MEDICINE SPECIALISTS

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

Specialization: Multi-Specialty

Address:
3003 TIETON DR STE 320
YAKIMA, WA
ZIP 98902
Phone: (509) 452-3765
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MEMORIAL PRACTICE MANAGEMENT, LLC is a multi-specialty clinic center in Yakima, WA. MEMORIAL PRACTICE MANAGEMENT, LLC NPI is 1851533228. The provider is registered as an organization entity type.
The provider Is Doing Business As Yakima Internal Medicine Specialists.

The provider's business location address is:

3003 TIETON DR STE 320
YAKIMA, WA
ZIP 98902-688
Phone: (509) 452-3765
Fax: (509) 452-3435

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

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.


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-SpecialtyWASHINGTONYes

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
1CK5633MEDICARE PINWASHINGTON
2GAB33468MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.