| Comprehensive Healthcare | |
| 402 S 4th Ave Yakima WA 98902 | |
| (509) 575-4084 | |
| Not Available | 
| Full Name | Comprehensive Healthcare | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 402 S 4th Ave, Yakima, Washington | 
| Authorized Official Name and Position | Jodi Daly (PRESIDENT/CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 5095754084 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Comprehensive Healthcare Po Box 959 Yakima WA 98907-0959 Ph: (509) 575-4084 | Comprehensive Healthcare 402 S 4th Ave Yakima WA 98902 Ph: (509) 575-4084 | 
| NPI Number | 1073527453 | 
|---|---|
| Provider Enumeration Date | 07/28/2006 | 
| Last Update Date | 02/16/2024 | 
| Medicare PECOS PAC ID | 7618875022 | 
|---|---|
| Medicare Enrollment ID | O20031223000155 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073527453 | NPI | - | NPPES | 
| 7024045 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary | 
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Provider Name | Phyllis J Henderson | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1487863999 PECOS PAC ID: 0446220412 Enrollment ID: I20040727001625 | 
| Provider Name | Naomi S Wenzel | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205920535 PECOS PAC ID: 2860454618 Enrollment ID: I20041103000377 | 
| Provider Name | Frank A Garner | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1841332483 PECOS PAC ID: 4981668100 Enrollment ID: I20041117000714 | 
| Provider Name | Heather S Morse | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1811074867 PECOS PAC ID: 7315989019 Enrollment ID: I20050524000077 | 
| Provider Name | Barbara J Scott | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023229424 PECOS PAC ID: 0749365518 Enrollment ID: I20080304000898 | 
| Provider Name | Michelle R Aronow | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1902982309 PECOS PAC ID: 0244356962 Enrollment ID: I20100929001668 | 
| Provider Name | Jamie L Walker | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1710058839 PECOS PAC ID: 0446498075 Enrollment ID: I20130521000368 | 
| Provider Name | Carol A Gilliom | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1881764769 PECOS PAC ID: 5092944330 Enrollment ID: I20140206001365 | 
| Provider Name | Gary L Leno | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1457301491 PECOS PAC ID: 5698700151 Enrollment ID: I20140619002013 | 
| Provider Name | Pamela D Russell | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1639296205 PECOS PAC ID: 6608199237 Enrollment ID: I20150106001278 | 
| Provider Name | Maria G Mondragon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1609028588 PECOS PAC ID: 2567783780 Enrollment ID: I20150529002665 | 
| Provider Name | Marvin N Anderson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1770645285 PECOS PAC ID: 0244247526 Enrollment ID: I20150611003472 | 
| Provider Name | Jody D Robinson | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1871632877 PECOS PAC ID: 7113095852 Enrollment ID: I20150801017351 | 
| Provider Name | Jeffry Jacobs | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1063477545 PECOS PAC ID: 7113961012 Enrollment ID: I20151008002069 | 
| Provider Name | Erika L Rootvik | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407225238 PECOS PAC ID: 5890095301 Enrollment ID: I20151204000556 | 
| Provider Name | Kristin Elizabeth Gumz | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1639547821 PECOS PAC ID: 9032336680 Enrollment ID: I20160503000634 | 
| Provider Name | Auren C O'connell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194039834 PECOS PAC ID: 1850681917 Enrollment ID: I20160601001401 | 
| Provider Name | Rebecca L Palmer-overmiller | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1245629823 PECOS PAC ID: 0941563985 Enrollment ID: I20180404001867 | 
| Provider Name | Richard D Simpson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1790083236 PECOS PAC ID: 9133484454 Enrollment ID: I20180607000466 | 
| Provider Name | Debra J Wentz | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1164524237 PECOS PAC ID: 0840220778 Enrollment ID: I20180703001583 | 
| Provider Name | Brenda Alexander O Neil | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467905778 PECOS PAC ID: 1658651260 Enrollment ID: I20190219001013 | 
| Provider Name | Debra Peasley | 
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) | 
| Provider Identifiers | NPI Number: 1033291356 PECOS PAC ID: 5092744813 Enrollment ID: I20190415000080 | 
| Provider Name | Bradley D Bastian | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1790173318 PECOS PAC ID: 4688917008 Enrollment ID: I20190528000660 | 
| Provider Name | Susan Lynne Adams | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1437612488 PECOS PAC ID: 1153654603 Enrollment ID: I20190614002079 | 
| Provider Name | Sandra L French | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700946696 PECOS PAC ID: 8921009333 Enrollment ID: I20200410001824 | 
| Provider Name | Amy D Scott | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568097210 PECOS PAC ID: 9335579028 Enrollment ID: I20200421000668 | 
| Provider Name | Matthew A Bogoyas | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1336508423 PECOS PAC ID: 1153662838 Enrollment ID: I20200821002681 | 
| Provider Name | Jennifer Grace Wilson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972109254 PECOS PAC ID: 2365854395 Enrollment ID: I20201216002693 | 
| Provider Name | Ghulam Sarwar | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619354180 PECOS PAC ID: 5597197319 Enrollment ID: I20210125001915 | 
| Provider Name | Joyce M Austin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1821686395 PECOS PAC ID: 3678980521 Enrollment ID: I20210322001231 | 
| Provider Name | Shirley E Mohren-graves | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568461465 PECOS PAC ID: 7012902810 Enrollment ID: I20210324002377 | 
| Provider Name | Jacqueline Panton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245716778 PECOS PAC ID: 4981013034 Enrollment ID: I20210503001029 | 
| Provider Name | Kristylynne Goveia | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1497143853 PECOS PAC ID: 1759790827 Enrollment ID: I20210503001697 | 
| Provider Name | Miguel Diego Mendoza | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1396815171 PECOS PAC ID: 2264841295 Enrollment ID: I20210504001845 | 
| Provider Name | David Isaac | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962089227 PECOS PAC ID: 0446650956 Enrollment ID: I20210621000345 | 
| Provider Name | Jana Spasovski | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1386092310 PECOS PAC ID: 6608102918 Enrollment ID: I20210625002373 | 
| Provider Name | Renai Allen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790872158 PECOS PAC ID: 9830344399 Enrollment ID: I20210720001190 | 
| Provider Name | Britney Jean Skillman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003489261 PECOS PAC ID: 4385040922 Enrollment ID: I20210908001408 | 
| Provider Name | Tamara A Iverson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215579503 PECOS PAC ID: 7315345121 Enrollment ID: I20211008001214 | 
| Provider Name | Sherry Mccoy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861745994 PECOS PAC ID: 8729220231 Enrollment ID: I20211014001271 | 
| Provider Name | Ka U Chan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043500895 PECOS PAC ID: 4385040526 Enrollment ID: I20220119002324 | 
| Provider Name | Andrea L Schmidt | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1316332976 PECOS PAC ID: 0749673655 Enrollment ID: I20220216002054 | 
| Provider Name | Barbara A Norman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043422611 PECOS PAC ID: 6204865157 Enrollment ID: I20220617001147 | 
| Provider Name | Jessica J Reed | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1598293821 PECOS PAC ID: 4486034683 Enrollment ID: I20220706001375 | 
| Provider Name | Precious Spencer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235620527 PECOS PAC ID: 5890117287 Enrollment ID: I20221003002069 | 
| Provider Name | Betty O Hoffman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407527716 PECOS PAC ID: 3375912827 Enrollment ID: I20221206001431 | 
| Provider Name | Skyler E Glatt | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1184083875 PECOS PAC ID: 5294105508 Enrollment ID: I20230103001042 | 
| Provider Name | Violet Yeager | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1801386321 PECOS PAC ID: 4183019755 Enrollment ID: I20230403000590 | 
| Provider Name | Catherine Ann Sheahan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1528360526 PECOS PAC ID: 9335311257 Enrollment ID: I20231002001926 | 
| Provider Name | Diana Stonehouse | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1528632551 PECOS PAC ID: 2163876699 Enrollment ID: I20231002002098 | 
| Provider Name | Monique Manderson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619360070 PECOS PAC ID: 5890015994 Enrollment ID: I20231002002756 | 
| Provider Name | Juanita C Roberts | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104471382 PECOS PAC ID: 2062743016 Enrollment ID: I20231101001364 | 
| Provider Name | Jordan Lee Nordquist | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1679835615 PECOS PAC ID: 3779854252 Enrollment ID: I20231101003185 | 
| Provider Name | Idalia M Hernandez Alers | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1447641832 PECOS PAC ID: 8325498116 Enrollment ID: I20231219003900 | 
| Provider Name | Debra J Dove | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1124149562 PECOS PAC ID: 6608226386 Enrollment ID: I20231220003584 | 
| Provider Name | Leslie A Thompson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1760657480 PECOS PAC ID: 1355791047 Enrollment ID: I20231220003921 | 
| Provider Name | Trevor Pietsch | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1689825606 PECOS PAC ID: 1153771258 Enrollment ID: I20240102003453 | 
| Provider Name | Spenser Ash | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1972197903 PECOS PAC ID: 5395195341 Enrollment ID: I20240103001470 | 
| Provider Name | Clarissa Stauffer | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1801571054 PECOS PAC ID: 5799135745 Enrollment ID: I20240103001683 | 
| Provider Name | Suzanne Noble | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1346311461 PECOS PAC ID: 7113378183 Enrollment ID: I20240104001207 | 
| Provider Name | Parveen Abdul | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1003973926 PECOS PAC ID: 1355792334 Enrollment ID: I20240104001768 | 
| Provider Name | Karan Shultz | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1013215706 PECOS PAC ID: 8123479045 Enrollment ID: I20240104003535 | 
| Provider Name | Amanda K Bladow | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1134304504 PECOS PAC ID: 3971954801 Enrollment ID: I20240104003874 | 
| Provider Name | Cara M Kline | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1811424690 PECOS PAC ID: 8325499148 Enrollment ID: I20240105002532 | 
| Provider Name | Sarah Reeve | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1528187655 PECOS PAC ID: 2567813306 Enrollment ID: I20240105003116 | 
| Provider Name | Sean F Harrington | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1790264653 PECOS PAC ID: 6507217684 Enrollment ID: I20240112003365 | 
| Provider Name | Gregory Aubol | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1144304452 PECOS PAC ID: 3870945785 Enrollment ID: I20240116004181 | 
| Provider Name | Linda L Melseth | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1740540657 PECOS PAC ID: 3577915115 Enrollment ID: I20240118003168 | 
| Provider Name | Elizabeth Judith Atkinson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1639734932 PECOS PAC ID: 6901258540 Enrollment ID: I20240118003259 | 
| Provider Name | Emily M Hamilton | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1720651920 PECOS PAC ID: 8527410174 Enrollment ID: I20240118003340 | 
| Provider Name | Michael Cleveland | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1679921803 PECOS PAC ID: 3678925229 Enrollment ID: I20240118003500 | 
| Provider Name | Brett Wenger | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1932282886 PECOS PAC ID: 1658723036 Enrollment ID: I20240122002436 | 
| Provider Name | Scott J Hereford | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1497805667 PECOS PAC ID: 8729430038 Enrollment ID: I20240122004047 | 
| Provider Name | Kristina L Dukart | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1225528946 PECOS PAC ID: 6901220177 Enrollment ID: I20240205001254 | 
| Provider Name | Jade Hall | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1720719750 PECOS PAC ID: 4789027962 Enrollment ID: I20240205001480 | 
| Provider Name | David Hulslander | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1104217975 PECOS PAC ID: 2163865734 Enrollment ID: I20240210000706 | 
| Provider Name | Brenda N Acosta | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1871369728 PECOS PAC ID: 9638513500 Enrollment ID: I20240219002807 | 
| Provider Name | David Guyer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1699253245 PECOS PAC ID: 8123463403 Enrollment ID: I20240226003856 | 
| Provider Name | Krystal L Weber | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003682816 PECOS PAC ID: 4183069479 Enrollment ID: I20240226004084 | 
| Provider Name | Annalisa G Harty | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1851056022 PECOS PAC ID: 8123464310 Enrollment ID: I20240311001392 | 
| Provider Name | Candy Joachims | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1083875785 PECOS PAC ID: 7810347606 Enrollment ID: I20240311001889 | 
| Provider Name | Barbara E Carson-campbell | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1891354304 PECOS PAC ID: 9739539420 Enrollment ID: I20240318003273 | 
| Provider Name | Susan B Gunn | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1952484800 PECOS PAC ID: 1456701234 Enrollment ID: I20240319002149 | 
| Provider Name | Mark Davis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265296412 PECOS PAC ID: 0941649354 Enrollment ID: I20240418001398 | 
| Provider Name | Bethany Hale | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1821459868 PECOS PAC ID: 0941649362 Enrollment ID: I20240418001886 | 
| Provider Name | Jennifer Sparr | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1003670597 PECOS PAC ID: 2668811720 Enrollment ID: I20240422003069 | 
| Provider Name | Jacqueline Angela Aliano | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619443454 PECOS PAC ID: 1052705308 Enrollment ID: I20240525000137 | 
| Provider Name | Mark Davis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265296412 PECOS PAC ID: 0941649354 Enrollment ID: I20240529002577 | 
| Provider Name | Christlaen E Cady | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275776130 PECOS PAC ID: 3870763667 Enrollment ID: I20240618003263 | 
| Provider Name | Nicole A Tatum | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1003581778 PECOS PAC ID: 7416493820 Enrollment ID: I20240722003209 | 
| Provider Name | Taylor A Brummett | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1225687908 PECOS PAC ID: 2961940432 Enrollment ID: I20240814004973 | 
| Provider Name | Kimberly Clemmons | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1790263226 PECOS PAC ID: 0345772240 Enrollment ID: I20241016004489 | 
| Provider Name | Tana L Bentley | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1164901021 PECOS PAC ID: 3870029572 Enrollment ID: I20241204003870 | 
| Provider Name | Thomas L Bell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1538814272 PECOS PAC ID: 7911421656 Enrollment ID: I20250403002582 | 
| 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 |