Healthcare Provider Details

I. General information

NPI: 1053373480
Provider Name (Legal Business Name): YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 TIETON DR
YAKIMA WA
98902-3761
US

IV. Provider business mailing address

P.O. BOX 5299 MS: 820-5-PCO
YAKIMA WA
98415-0299
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-8000
  • Fax: 509-574-5800
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number3500436
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH-058
License Number StateWA

VIII. Authorized Official

Name: WILLIAM GLENN ROBERTSON
Title or Position: CEO
Credential:
Phone: 253-403-1272