MEMORIAL PRACTICE MANAGEMENT, LLC (NPI# 1609018076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609018076 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PRACTICE MANAGEMENT, LLC |
| Other Organization Name | PACIFIC CREST FAMILY MEDICINE |
| Practice Address |
311 S 72nd Ave Yakima WA 98908-1661 |
| Mailing Address |
Po Box 2947 Yakima WA 98907-2947 |
| Practice Telephone | 5099721818 |
| Practice Fax Number | 5099727842 |
| 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 | 7091168 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Crest Family Medicine | 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 |
| 1275775645 | Memorial Practice Management, LLC | Clinic/Center | 118 S 2nd St, Yakima, WA 98942 | 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 |
311 S 72ND AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043255441 | Duane Eugene Teerink | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908 | 2006-06-19 |
| 1588913289 | Kiva C Fallgatter | Physician Assistant | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2012-09-10 |
| 1457613770 | Corinne Denise Glassgow | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2012-06-12 |
| 1124340229 | Memorial Physicians, P.l.l.c. | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2010-02-17 |
| 1215109368 | Medical Associates of Yakima, LLC | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2008-03-28 |
| 1740367713 | See Young Chris Yang | Otolaryngology | 311 S 72nd Ave, Yakima, WA 98908 | 2006-11-01 |
| 1942211941 | Anne Marie Teerink | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908 | 2006-08-11 |
| 1255340675 | Joseph L Vickers | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2006-08-05 |
| 1922022037 | Carl R Olden | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908 | 2006-07-26 |
| 1669493227 | Paul E Emmans IIi | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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.