MEMORIAL PRACTICE MANAGEMENT LLC NPI 1972745347

NPI Information

NPI: 1972745347
Provider Name: MEMORIAL PRACTICE MANAGEMENT, LLC

Doing Business As: APPLE VALLEY FAMILY MEDICINE

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

Specialization: Multi-Specialty

Address:
1008 S. 38TH AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 965-1035
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MEMORIAL PRACTICE MANAGEMENT, LLC is a multi-specialty clinic center in Yakima, WA. MEMORIAL PRACTICE MANAGEMENT, LLC NPI is 1972745347. The provider is registered as an organization entity type.
The provider Is Doing Business As Apple Valley Family Medicine.

The provider's business location address is:

1008 S. 38TH AVE
YAKIMA, WA
ZIP 98902-000
Phone: (509) 965-1035
Fax: (509) 965-1580

The provider's authorized official is Jim W Simmons .
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 4/1/2009 and was last updated on 1/6/2010.

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		WASHINGTON	Yes

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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