| Heart Central Of Washington, Pllc | |
|
1006 S 64th Ave Ste 110 Yakima WA 98908-2090 | |
| (509) 902-3625 | |
| (509) 676-3415 |
| Full Name | Heart Central Of Washington, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1006 S 64th Ave Ste 110, Yakima, Washington |
| Authorized Official Name and Position | David W Krueger (OWNER) |
| Authorized Official Contact | 5099023625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Central Of Washington, Pllc 1006 S 64th Ave Ste 110 Yakima WA 98908-2090 Ph: (509) 902-3625 | Heart Central Of Washington, Pllc 1006 S 64th Ave Ste 110 Yakima WA 98908-2090 Ph: (509) 902-3625 |
| NPI Number | 1790382224 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 1557774254 |
|---|---|
| Medicare Enrollment ID | O20210119000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790382224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Robert A Ortiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154474237 PECOS PAC ID: 5799760096 Enrollment ID: I20040621001845 |
| Provider Name | David W Krueger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235282302 PECOS PAC ID: 9931184140 Enrollment ID: I20040622000796 |
| Provider Name | Victor V Sharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255376612 PECOS PAC ID: 5698788875 Enrollment ID: I20060712000026 |
| Provider Name | Patricia A Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821141912 PECOS PAC ID: 4183893829 Enrollment ID: I20110812000680 |
| Provider Name | Michelle Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780318659 PECOS PAC ID: 6204853393 Enrollment ID: I20230123001495 |
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