MEMORIAL PRACTICE MANAGEMENT, LLC (NPI# 1275775645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275775645 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PRACTICE MANAGEMENT, LLC |
| Other Organization Name | DR PAUL EMMANS, JR, DO, PC |
| Practice Address |
118 S 2nd St Yakima WA 98942 |
| Mailing Address |
Po Box 2947 Yakima WA 98907-2947 |
| Practice Telephone | 5096974827 |
| Practice Fax Number | 5096979313 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | JIM W SIMMONS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5092487849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7056898 | 05 |
| Other Name | Type Code |
|---|---|
| Dr Paul Emmans, JR, DO, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972745347 | Memorial Practice Management, LLC | Clinic/Center | 1008 S. 38th Ave, Yakima, WA 98902-0000 | 2009-04-01 |
| 1851533228 | Memorial Practice Management, LLC | Clinic/Center | 3003 Tieton Dr Ste 320, Yakima, WA 98902-3688 | 2009-04-01 |
| 1881836252 | Memorial Practice Management, LLC | Clinic/Center | 1111 W Spruce St Ste 30, Yakima, WA 98902-3264 | 2009-04-01 |
| 1194967562 | Memorial Practice Management, LLC | Clinic/Center | 402 S 12th Ave, Yakima, WA 98902-3115 | 2009-04-01 |
| 1609018076 | Memorial Practice Management, LLC | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2009-04-01 |
| 1548402167 | Memorial Practice Management, LLC | Clinic/Center | 202 W Naches Ave, Selah, WA 98942-1326 | 2009-03-27 |
| 1730321522 | Memorial Practice Management, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2009-03-25 |
| Street Address |
118 S 2ND ST |
| City | YAKIMA |
| State | WA |
| Zip Code | 98942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063847580 | Rebekah Mccullough | Counselor | 107 W Orchard Ave, Selah, WA 98942 | 2013-09-04 |
| 1528305869 | Heather Renae Yochum | Registered Nurse | 207 Palmer Drive, Selah, WA 98942 | 2013-01-07 |
| 1669697223 | Nicholus Gentry | Counselor | 1790 Selah Loop Road #23, Selah, WA 98942 | 2007-04-16 |
| 1639296619 | Angela Marie Kelsey | Massage Therapist | 107 W Naches, Selah, WA 98942 | 2007-03-23 |
| 1093899338 | Jeffrey L Jennings | Psychiatry & Neurology | 691 S Wenas, Selah, WA 98942 | 2006-10-24 |
| 1215935069 | David Lee Lemmon | Chiropractor | 318 S 1st Street, Selah, WA 98942 | 2005-07-13 |
| 1518981489 | David A Pommer | Family Medicine | 620 N. Park Drive, Selah, WA 98942 | 2006-07-26 |
| 1821030123 | Washington State Dept. of Social & Health Services | Pharmacy | 609 Speyers Rd, Selah, WA 98942-1050 | 2006-06-12 |
| 1639129695 | Dshs/dda/yakima Valley School | Skilled Nursing Facility | 609 Speyers Road, Selah, WA 98942-1050 | 2006-05-11 |
| 1154967099 | Bupe Martha M Habiyambere | Nurse Practitioner | 609 Speyers Rd, Selah, WA 98942-1050 | 2019-11-26 |
| Find all providers in zip 98942 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972745347 | Memorial Practice Management, LLC | Clinic/Center | 1008 S. 38th Ave, Yakima, WA 98902-0000 | 2009-04-01 |
| 1851533228 | Memorial Practice Management, LLC | Clinic/Center | 3003 Tieton Dr Ste 320, Yakima, WA 98902-3688 | 2009-04-01 |
| 1881836252 | Memorial Practice Management, LLC | Clinic/Center | 1111 W Spruce St Ste 30, Yakima, WA 98902-3264 | 2009-04-01 |
| 1356393383 | Yakima Valley Professional Services On 12th, PC | Clinic/Center | 402 S 12th Ave, Yakima, WA 98902-3115 | 2006-05-17 |
| 1154930543 | Yakima Valley Memorial Physicians | Clinic/Center | 1008 S 38th Ave, Yakima, WA 98902-3953 | 2020-07-30 |
| 1699257113 | Memorial Physicians, Pllc | Clinic/Center | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-08-31 |
| 1942695580 | Yakima Medical Consultants Inc | Clinic/Center | 622 S 36th Ave, Yakima, WA 98902-3943 | 2015-03-31 |
| 1588986681 | Memorial Physicians, P.l.l.c. | Clinic/Center | 3909 Creekside Loop, Suite 120, Yakima, WA 98902-4880 | 2010-02-17 |
| 1013239110 | Memorial Physicians, P.l.l.c. | Clinic/Center | 1008 S. 38th Ave, Yakima, WA 98902-0000 | 2010-02-17 |
| 1316269418 | Memorial Physicians, P.l.l.c. | Clinic/Center | 4003 Creekside Loop, Yakima, WA 98908-3959 | 2010-02-17 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.