Yakima Primary Care, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

YAKIMA PRIMARY CARE, PLLC

Practice address

3003 Tieton Dr
Suite 320
Yakima, WA 98902-3679

Phone

(509) 452-3765

Fax

(509) 452-3435

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Caroline George

Title

Director of Finance

Phone

(509) 248-7849

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yakima Internal Medicine Specialist Doing business as

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1275547002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072947",
            "telephone_number": "509-248-7849",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 TIETON DR",
            "address_2": "SUITE 320",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023679",
            "telephone_number": "509-452-3765",
            "fax_number": "509-452-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Internal Medicine Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yakima Orthopedics at Memorial TR
• Yakima Orthotics and Prosthetics P C
• Yakima Orthotics and Prosthetics P C
• Yakima Otolaryngology & Facial Plastic Surgery, PLLC
• Yakima Plastic Surgery Associates, PC
• Yakima Primary Care, PLLC
• Yakima Primary Care, PLLC
• Yakima School District
• Yakima Specialties, Inc
• Yakima Surgical Associates, PLLC

• Multi-Specialty Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.