1760411912 NPI number — YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC

Table of content: (NPI 1760411912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760411912 NPI number — YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760411912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2947
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YAKIMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98907-2947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-248-7849
Provider Business Mailing Address Fax Number:
509-249-5042

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 S. 72ND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-972-1818
Provider Business Practice Location Address Fax Number:
509-972-7842
Provider Enumeration Date:
07/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SIMMONS
Authorized Official First Name:
JIM
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
509-248-7849

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  MD00027321 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7091168 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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