| Organization Name: | YAKIMA PRIMARY CARE, PLLC |
| NPI Number: | 1902082340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIM W SIMMONS (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 1008 S. 38th Avenue Yakima |
| State: | WA US |
| Postal Code: | 989020000 |
| Phone Number: | 5092499045 |
| Fax Number: | 5092495041 |
| NPI Enumeration Date: | 01/16/2008 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00020754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |