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General NPI Number Information
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NPI Number | 1053373480
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Entity Type | Organization
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Legal Business Name | YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2811 TIETON DR
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City | YAKIMA
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State | WA
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Zip | 98902-3761
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Country | US
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Telephone | 509-575-8000
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Fax | 509-574-5800
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Provider Business Mailing Address
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Address Line | P.O. BOX 5299 MS: 820-5-PCO
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City | YAKIMA
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State | WA
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Zip | 98415-0299
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM GLENN ROBERTSON
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Credential |
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Telephone | 253-403-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 3500436
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H-058
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License Number State | WA
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