| Thuthi Enterprises, Llc | |
|
715 N Park Ctr # A Selah WA 98942-1174 | |
| (509) 248-0497 | |
| (509) 248-4167 |
| Full Name | Thuthi Enterprises, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 715 N Park Ctr # A, Selah, Washington |
| Authorized Official Name and Position | Amelia Doris Ledbetter (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5733354715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thuthi Enterprises, Llc 1460 N 16th Ave Ste B Yakima WA 98902-7102 Ph: (509) 248-0497 | Thuthi Enterprises, Llc 715 N Park Ctr # A Selah WA 98942-1174 Ph: (509) 248-0497 |
| NPI Number | 1851919476 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 09/18/2020 |
| Medicare PECOS PAC ID | 3870903099 |
|---|---|
| Medicare Enrollment ID | O20201029000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851919476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | 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 | Stacie R Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609048560 PECOS PAC ID: 8628142171 Enrollment ID: I20080801000378 |
| Provider Name | Sunny J G Bhaskaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144241175 PECOS PAC ID: 5698815470 Enrollment ID: I20091230000072 |
| Provider Name | Anne D Tweedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659395531 PECOS PAC ID: 0547305674 Enrollment ID: I20100301000693 |
| Provider Name | Melissa Hong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619069911 PECOS PAC ID: 1951291038 Enrollment ID: I20100429000397 |
| Provider Name | Jody B Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538462197 PECOS PAC ID: 8820272347 Enrollment ID: I20110407000555 |
| Provider Name | Jessica S Pechtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376090639 PECOS PAC ID: 4880974328 Enrollment ID: I20161129002228 |
| Provider Name | Kimberly A Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083128524 PECOS PAC ID: 9537407556 Enrollment ID: I20190215001851 |
| Provider Name | Kaylee L Vantrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558635508 PECOS PAC ID: 2264766260 Enrollment ID: I20190625002927 |
| Provider Name | Jennifer Grace Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972109254 PECOS PAC ID: 2365854395 Enrollment ID: I20201216002693 |
| Provider Name | Brittanie K-lyn Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548979164 PECOS PAC ID: 0446629638 Enrollment ID: I20221209002026 |
Ausink Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 W Orchard Ave Ste 200, Selah, WA 98942 Phone: 509-698-2520 Fax: 509-698-2558 | |
Frederick J Thysell Md Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1416 Jesica Dr, Selah, WA 98942 Phone: 509-823-3861 Fax: 509-697-3819 | |
Memorial Practice Management, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Naches Ave, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-697-9313 | |
Memorial Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 N. Park Drive, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-225-2707 | |
Yakima Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S 2nd St, Suite B, Selah, WA 98942 Phone: 509-698-3571 Fax: 509-698-3572 | |
Sunnyside Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 N Park Ctr, Selah, WA 98942 Phone: 509-697-4827 Fax: 509-697-9099 | |
Medical Associates Of Yakima, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Naches Ave, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-697-9313 |