| Organization Name: | YAKIMA VALLEY SURGICAL ASSOC PS |
| NPI Number: | 1073624334 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YOLANDA PHILLIPS (OFFICE MANAGER) |
| Mailing Address: | 500 S 11th St Sunnyside |
| State: | WA US |
| Postal Code: | 989442240 |
| Phone Number: | 5098377722 |
| Fax Number: | 5098372587 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 18116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |