| Yakima Avenue Medical Clinic, Pllc | |
|
5 S 14th Ave Yakima WA 98902-3101 | |
| (509) 426-2378 | |
| (509) 426-2380 |
| Full Name | Yakima Avenue Medical Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 S 14th Ave, Yakima, Washington |
| Authorized Official Name and Position | Greg A Swart (OWNER) |
| Authorized Official Contact | 5099456205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Avenue Medical Clinic, Pllc 5 S 14th Ave Yakima WA 98902-3101 Ph: (509) 426-2378 | Yakima Avenue Medical Clinic, Pllc 5 S 14th Ave Yakima WA 98902-3101 Ph: (509) 426-2378 |
| NPI Number | 1629365374 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 4082869367 |
|---|---|
| Medicare Enrollment ID | O20130313000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629365374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP30005978 (Washington) | Primary |
| Provider Name | Joseph A Dimeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205848942 PECOS PAC ID: 1951472315 Enrollment ID: I20080612000724 |
| Provider Name | Anne D Tweedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659395531 PECOS PAC ID: 0547305674 Enrollment ID: I20100301000693 |
| Provider Name | Kimberly A Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083128524 PECOS PAC ID: 9537407556 Enrollment ID: I20190215001851 |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 230, Yakima, WA 98902 Phone: 509-248-3440 Fax: 509-249-4460 | |
Community Health Of Central Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S 6th Ave, Yakima, WA 98902 Phone: 509-494-6700 Fax: 509-573-6275 | |
Yakima Valley Professional Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N 40th Ave, Yakima, WA 98908 Phone: 509-966-9480 Fax: 509-966-3283 | |
Memorial Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 S. 38th Ave, Yakima, WA 98902 Phone: 509-965-1035 Fax: 509-225-2700 | |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |
Yakima Valley Farm Workers Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 S 11th Ave, Yakima, WA 98902 Phone: 509-902-8585 Fax: 509-902-2030 | |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 350, Yakima, WA 98902 Phone: 509-573-3939 |