| Organization Name: | MEDICAL ASSOCIATES OF YAKIMA, LLC |
| NPI Number: | 1902078736 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINE GEORGE (DIRECTOR OF FINANCE) |
| Mailing Address: | 118 S 2nd St Selah |
| State: | WA US |
| Postal Code: | 989421308 |
| Phone Number: | 5096974827 |
| Fax Number: | 5096979313 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 06/20/2008 |
| 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: | |