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NPI Code Detail

MEDICARE: YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION

MEDICARE: YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
23336S0011XSpecialty PharmacyPHAR.CF.60509437WA
3333600000XPharmacyPHAR.CF.60509437WA
43336C0002XClinic PharmacyPHAR.CF.60509437WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24934774OTHERWANCPDP

General Provider Information

NPI Number : 1568719359
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : P.O. BOX 5299
Second Line : MS: 820-5-PCO
City : TACOMA
State : WA
Zip : 98415-0299
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4003 CREEKSIDE LOOP
Second Line :
City : YAKIMA
State : WA
Zip : 98908-3962
Country : US
Telephone Number : 509-573-3808
Fax Number : 509-573-3809
Authorized Official
Title or Position : CEO
Name : WILLIAM GLENN ROBERTSON
Credential :
Telephone Number : 253-403-1272
Provider Enumeration Date : 08/10/2012
Last Update Date : 03/31/2026

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Directions to “YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION ” Practice Location

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