Organization Name: | YAKIMA PRIMARY CARE, PLLC |
NPI Number: | 1700815966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH EELLS (DIRECTOR OF FINANCE) |
Mailing Address: | 118 S 2nd St Suite B Selah |
State: | WA US |
Postal Code: | 989421308 |
Phone Number: | 5096983571 |
Fax Number: | 5096983572 |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 06/02/2011 |
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: |