YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC (NPI# 1760411912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760411912 |
| Entity Type | Organization |
| Organization Name | YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC |
| Other Organization Name | PACIFIC CREST FAMILY MEDICINE |
| Practice Address |
311 S. 72nd Ave Yakima WA 98908 |
| Mailing Address |
Po Box 2947 Yakima WA 98907-2947 |
| Practice Telephone | 5099721818 |
| Practice Fax Number | 5099727842 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092495042 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | JIM SIMMONS (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5092487849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MD00027321 | 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 |
|---|---|---|---|---|
| 1972517704 | Yakima Valley Professional Services On Tieton, PC | Clinic/Center | 202 W Naches Ave, Selah, WA 98942-1326 | 2006-07-28 |
| 1740201938 | Yakima Valley Professional Services On Tieton, PC | Clinic/Center | 1008 S 38th Ave, Yakima, WA 98902-0000 | 2006-07-22 |
| Street Address |
311 S. 72ND AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1689098436 | Memorial Physicians, Pllc | Clinic/Center | 120 S 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2014-02-14 |
| 1932130234 | Medi-center Group | Clinic/Center | 4001 Tieton Dr, Yakima, WA 98908-3345 | 2006-07-05 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1871002527 | Sunnyside Community Hospital Assocation | Clinic/Center | 111 S 11th Ave Ste 320, Yakima, WA 98902-3273 | 2017-09-26 |
| 1881103695 | Sunnyside Community Hospital Association | Clinic/Center | 6101 Summitview Ave, Yakima, WA 98908-3028 | 2017-09-25 |
| 1063931475 | Sunnyside Community Hospital Association | Clinic/Center | 1005 W Walnut St Ste 223, Yakima, WA 98902-3360 | 2017-09-18 |
| 1457899437 | Ummelina Day Spa Yakima | Clinic/Center | 399 E Yakima Ave Ste 183, Yakima, WA 98901-4519 | 2017-02-09 |
| 1528519915 | Memorial Physicians, Pllc | Clinic/Center | 303 Holton Ave, Yakima, WA 98902-3239 | 2016-10-20 |
| 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.