Organization Name: | YAKIMA VALLEY PROFESSIONAL SERVICES, PC |
NPI Number: | 1003837121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE GEORGE (DIRECTOR OF FINANCE) |
Mailing Address: | 504 N 40th Ave Yakima |
State: | WA US |
Postal Code: | 989084311 |
Phone Number: | 5099669480 |
Fax Number: | 5099663283 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 11/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |