NPIMap

Organization Active NPI

Yakima Valley Memorial Hospital Association

Doing business as Memorial's Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Yakima, WA
National Provider Identifier
1154792265
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Memorial's Medical Supply
Practice address
3003 Tieton Dr
Suite 200
Yakima, WA 98902-3679
Phone
(509) 574-5951
NPI assigned
Oct 14, 2015
Organization subpart
Yes
Parent organization
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Florence Chang
Title
President
Phone
(253) 403-7355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 397011023 WA
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

3003 Tieton Dr
Suite 200
Yakima, WA 98902-3679

Mailing address

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 574-5995

Other identifiers 1

IdentifierTypeStateIssuer
6001309MedicaidWA

Other names 1

  • Memorial's Medical Supply Doing business as

National Provider Directory

National Provider Directory
Part of
Yakima Valley Memorial Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3003 Tieton Dr
Ste 200
Yakima, WA 98902
Phone (509) 454-2229

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1154792265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023761",
            "telephone_number": "509-574-5995",
            "fax_number": "509-249-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 TIETON DR",
            "address_2": "SUITE 200",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023679",
            "telephone_number": "509-574-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-403-7355"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "397011023",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001309",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial's Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial's Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.