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MEMORIAL PRACTICE MANAGEMENT LLC NPI 1881836252


NPI Information

NPI: 1881836252
Provider Name: MEMORIAL PRACTICE MANAGEMENT, LLC

Doing Business As: RICHARD BOYD MD, PS

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

Specialization: Multi-Specialty

Address:
1111 W SPRUCE ST STE 30
YAKIMA, WA
ZIP 98902
Phone: (509) 575-1922
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MEMORIAL PRACTICE MANAGEMENT, LLC is a multi-specialty clinic center in Yakima, WA. MEMORIAL PRACTICE MANAGEMENT, LLC NPI is 1881836252. The provider is registered as an organization entity type.
The provider Is Doing Business As Richard Boyd Md, Ps.

The provider's business location address is:

1111 W SPRUCE ST STE 30
YAKIMA, WA
ZIP 98902-264
Phone: (509) 575-1922
Fax: (509) 248-2501

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
17055643MEDICAIDWASHINGTON
2CK5633MEDICARE PINWASHINGTON
3GAB33468MEDICARE 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

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.