| Yakima Medical Center | |
|
602 E Nob Hill Blvd Yakima WA 98901-3534 | |
| (509) 457-6881 | |
| (509) 453-6144 |
| Full Name | Yakima Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 602 E Nob Hill Blvd, Yakima, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Medical Center Po Box 190 Toppenish WA 98948-0190 Ph: (509) 457-6881 | Yakima Medical Center 602 E Nob Hill Blvd Yakima WA 98901-3534 Ph: (509) 457-6881 |
| NPI Number | 1174659890 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20101004001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174659890 | NPI | - | NPPES |
| 68100 | Other | VA | LABOR AND INDUSTRIES |
| 7033913 | Medicaid | WA | |
| YA0023 | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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