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NPI Code Detail

MEDICARE: YAKIMA PRIMARY CARE, PLLC

MEDICARE: YAKIMA PRIMARY CARE, PLLC
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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1972524080
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAKIMA PRIMARY CARE, PLLC
Provider Business Mailing Address
First Line : PO BOX 2947
Second Line :
City : YAKIMA
State : WA
Zip : 98907-2947
Country : US
Telephone Number : 509-248-7849
Fax Number : 509-248-8291
Provider Business Practice Location Address
First Line : 102 E 2ND ST
Second Line :
City : NACHES
State : WA
Zip : 98937-9743
Country : US
Telephone Number : 509-653-2235
Fax Number : 509-653-2236
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : MRS. CAROLINE GEORGE
Credential :
Telephone Number : 509-248-7849
Provider Enumeration Date : 07/22/2006
Last Update Date : 08/22/2020

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Directions to “YAKIMA PRIMARY CARE, PLLC ” Practice Location

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