NPIMap

Organization Active NPI

Sundown M Ranch

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1285223305
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNDOWN M RANCH
Practice address
2280 State Route 821
Yakima, WA 98901-8302
Phone
(509) 457-0990
Fax
(509) 453-5313
NPI assigned
Jan 13, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Mark Loes, SUDP, MBANPI 1679009732
Title
Director of Operations
Phone
(509) 969-0092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2280 State Route 821
Yakima, WA 98901-8302

Mailing address

PO Box 217
Selah, WA 98942-0217
Phone (509) 457-0990

National Provider Directory

National Provider Directory
Tax ID family
Sundown M Ranch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2280 State Route 821
Yakima, WA 98901
Phone (509) 457-0990

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1285223305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989420217",
            "telephone_number": "509-457-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 STATE ROUTE 821",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018302",
            "telephone_number": "509-457-0990",
            "fax_number": "509-453-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDOWN M RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "LOES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "509-969-0092",
        "authorized_official_credential": "SUDP, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 14, 2021; 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.