Active NPI
Yakima Valley Memorial Physicians
- General Acute Care Hospital
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- YAKIMA VALLEY MEMORIAL PHYSICIANS
- Practice address
- 2811 Tieton Drive
Yakima, WA 98902 - Phone
- (509) 575-8825
- Fax
- (509) 577-5056
- NPI assigned
- Oct 6, 2006
- Last updated
- Jun 27, 2024
- Organization subpart
- Yes
- Parent organization
- YAKIMA VALLEY MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Williams
- Title
- Manager, Provider Data & Enrollment
- Phone
- (253) 459-8009
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
2811 Tieton Drive
Yakima, WA 98902
Mailing address
PO Box 9787
Yakima, WA 98909
Phone (509) 574-3353
Other practice location 1
808 N 39th Ave
Yakima, WA 98902-6388
Phone (509) 574-3400
Other practice location 2
406 S 30th Ave Ste 101
Yakima, WA 98902-3713
Phone (509) 248-7715
Other practice location 3
3801 Kern Road
Yakima, WA 98902-6340
Phone (509) 574-3200
Other practice location 4
1460 N 16th Ave Ste D
Yakima, WA 98902-7102
Phone (509) 574-3805
Other practice location 5
100 E Jackson Ave Ste 201
Ellensburg, WA 98926-3692
Phone (509) 248-7715
Other practice location 6
100 E Jackson Ave Ste 104
Ellensburg, WA 98926-3693
Phone (509) 962-8611
Other practice location 7
3003 Tieton Dr
Yakima, WA 98902-3679
Phone (509) 248-7716
Other practice location 8
302 S 10th Ave
Yakima, WA 98902-3521
Phone (509) 574-3600
Other practice location 9
1812 E. Edison Ave
Sunnyside, WA 98944
Phone (509) 837-0658
Other practice location 10
620 N Park Dr
Selah, WA 98942-4100
Phone (509) 697-5511
Other practice location 11
303 Holton Ave
Yakima, WA 98902-3239
Phone (509) 575-7653
Other practice location 12
1607 Creekside Loop Ste 100
Yakima, WA 98902-4882
Phone (509) 453-4614
Other practice location 13
3909 Creekside Loop Ste 115
Yakima, WA 98902-4880
Phone (509) 574-6095
Other practice location 14
311 S 72nd Ave
Yakima, WA 98908-1661
Phone (509) 972-1818
Other practice location 15
1601 Creekside Loop
Yakima, WA 98902-4882
Phone (509) 575-1000
Other practice location 16
3909 Creekside Loop Ste 120
Yakima, WA 98902-4880
Phone (509) 248-6616
Other practice location 17
3003 Tieton Dr Ste 350
Yakima, WA 98902-3690
Phone (509) 573-3939
Other practice location 18
120 S 72nd Ave Ste 102
Yakima, WA 98908-4200
Phone (509) 972-1259
Other practice location 19
4003 Creekside Loop
Yakima, WA 98908-3962
Phone (509) 248-3263
Other practice location 20
406 S 30th Ave Ste 206
Yakima, WA 98902-3713
Phone (509) 574-3383
Other practice location 21
1515 W Yakima Ave
Yakima, WA 98902-2950
Phone (509) 574-3863
Other practice location 22
3003 Tieton Dr Ste 300
Yakima, WA 98902-3686
Phone (509) 575-3946
Other practice location 23
3003 Tieton Dr Ste 230
Yakima, WA 98902-3684
Phone (509) 575-8307
Other practice location 24
504 N 40th Ave
Yakima, WA 98908-4311
Phone (509) 966-9480
Other practice location 25
1008 S 38th Ave
Yakima, WA 98902-3953
Phone (509) 965-1035
Other practice location 26
1470 N 16th Ave Ste D
Yakima, WA 98902-1381
Phone (509) 574-6000
Other practice location 27
1607 Creekside Loop Ste 140
Yakima, WA 98902-4882
Phone (509) 248-4900
Other practice location 28
616 Railroad Ave Ste 1&2
Zillah, WA 98953
Phone (509) 972-1190
Other practice location 29
2701 Tieton Dr
Yakima, WA 98902-3759
Phone (509) 225-4669
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025654 | Other | WA | LABOR AND INDUSTRIES |
| 7128648 | Medicaid | WA | |
| 25654 | Other | WA | LABOR AND INDUSTRIES # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050818000714 | WA | Part B Supplier - Clinic/Group Practice | 1557391596 |
Receives reassigned benefits from 567 practitioners 1 other NPI on this enrollment Practice locations: Yakima, WA; Selah, WA; Ellensburg, WA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1871279257
1557391596
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1154015592
O20050818000714
National Provider Directory
National Provider Directory- Part of
- Infusion Care
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mary Bridge Pediatric Psychology Services
- Prescribing (Medical) Psychologist
- Tacoma, WA
- NPI 1104045988
Member Of
Locations
100 E Jackson Ave
Ste 104
Ellensburg, WA 98926
Phone (509) 453-4614
100 E Jackson Ave
Ste 201
Ellensburg, WA 98926
Phone (509) 574-6000
620 North Park Dr
Selah, WA 98942
Phone (509) 697-5511
1470 N 16th Ave
#D
Yakima, WA 98902
1515 W Yakima Ave
Yakima, WA 98902
Phone (509) 248-7184
2701 Tieton Dr
Yakima, WA 98902
Phone (509) 225-4669
302 S 10th Ave
Yakima, WA 98902
Phone (509) 248-7715
Practitioners & affiliated clinicians
Practitioners 584
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.
-
- Pediatric Radiology Physician
- Lynnwood, WA
- NPI 1881005833
-
- Nurse Practitioner
- Yakima, WA
- NPI 1942878046
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1538202528
-
- Gastroenterology Physician
- Yakima, WA
- NPI 1982097408
-
- Internal Medicine Physician
- Yakima, WA
- NPI 1720548274
-
- Family Nurse Practitioner
- Yakima, WA
- NPI 1447805288
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1083857817
-
- Critical Care Medicine (Internal Medicine) Physician
- Tacoma, WA
- NPI 1467547711
-
- Cardiovascular Disease Physician
- Tacoma, WA
- NPI 1740522127
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1588651236
-
- Vascular & Interventional Radiology Physician
- Tacoma, WA
- NPI 1902149339
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1235364894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1306933940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9787",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98909",
"telephone_number": "509-574-3353",
"fax_number": "509-225-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DRIVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-575-8825",
"fax_number": "509-577-5056"
}
],
"practiceLocations": [
{
"address_1": "808 N 39th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989026388",
"country_code": "US",
"telephone_number": "509-574-3400",
"fax_number": "509-574-3464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 S 30th Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023713",
"country_code": "US",
"telephone_number": "509-248-7715",
"fax_number": "509-453-4319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 Kern Road",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989026340",
"country_code": "US",
"telephone_number": "509-574-3200",
"fax_number": "509-574-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1460 N 16th Ave Ste D",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989027102",
"country_code": "US",
"telephone_number": "509-574-3805",
"fax_number": "509-576-7620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Jackson Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Ellensburg",
"state": "WA",
"postal_code": "989263692",
"country_code": "US",
"telephone_number": "509-248-7715",
"fax_number": "509-453-4319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Jackson Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Ellensburg",
"state": "WA",
"postal_code": "989263693",
"country_code": "US",
"telephone_number": "509-962-8611",
"fax_number": "509-962-8620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 Tieton Dr",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023679",
"country_code": "US",
"telephone_number": "509-248-7716",
"fax_number": "509-249-5244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "302 S 10th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023521",
"country_code": "US",
"telephone_number": "509-574-3600",
"fax_number": "509-574-3654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1812 E. Edison Ave",
"address_purpose": "LOCATION",
"city": "Sunnyside",
"state": "WA",
"postal_code": "98944",
"country_code": "US",
"telephone_number": "509-837-0658",
"fax_number": "509-837-0653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 N Park Dr",
"address_purpose": "LOCATION",
"city": "Selah",
"state": "WA",
"postal_code": "989424100",
"country_code": "US",
"telephone_number": "509-697-5511",
"fax_number": "509-225-2703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Holton Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023239",
"country_code": "US",
"telephone_number": "509-575-7653",
"fax_number": "509-248-3723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1607 Creekside Loop Ste 100",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989024882",
"country_code": "US",
"telephone_number": "509-453-4614",
"fax_number": "509-225-2712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3909 Creekside Loop Ste 115",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989024880",
"country_code": "US",
"telephone_number": "509-574-6095",
"fax_number": "509-574-6098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 S 72nd Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989081661",
"country_code": "US",
"telephone_number": "509-972-1818",
"fax_number": "509-574-6098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 Creekside Loop",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989024882",
"country_code": "US",
"telephone_number": "509-575-1000",
"fax_number": "509-225-2703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3909 Creekside Loop Ste 120",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989024880",
"country_code": "US",
"telephone_number": "509-248-6616",
"fax_number": "509-225-2708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 Tieton Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023690",
"country_code": "US",
"telephone_number": "509-573-3939",
"fax_number": "509-574-5831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 S 72nd Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989084200",
"country_code": "US",
"telephone_number": "509-972-1259",
"fax_number": "509-972-1258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4003 Creekside Loop",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989083962",
"country_code": "US",
"telephone_number": "509-248-3263",
"fax_number": "509-225-2702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 S 30th Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023713",
"country_code": "US",
"telephone_number": "509-574-3383",
"fax_number": "509-225-2705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 W Yakima Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989022950",
"country_code": "US",
"telephone_number": "509-574-3863",
"fax_number": "509-249-5319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 Tieton Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023686",
"country_code": "US",
"telephone_number": "509-575-3946",
"fax_number": "509-225-2701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 Tieton Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023684",
"country_code": "US",
"telephone_number": "509-575-8307",
"fax_number": "509-225-2716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 N 40th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989084311",
"country_code": "US",
"telephone_number": "509-966-9480",
"fax_number": "509-225-2712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1008 S 38th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023953",
"country_code": "US",
"telephone_number": "509-965-1035",
"fax_number": "509-225-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1470 N 16th Ave Ste D",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989021381",
"country_code": "US",
"telephone_number": "509-574-6000",
"fax_number": "509-225-2714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1607 Creekside Loop Ste 140",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989024882",
"country_code": "US",
"telephone_number": "509-248-4900",
"fax_number": "509-248-0609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "616 Railroad Ave Ste 1&2",
"address_purpose": "LOCATION",
"city": "Zillah",
"state": "WA",
"postal_code": "98953",
"country_code": "US",
"telephone_number": "509-972-1190",
"fax_number": "509-249-4460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 Tieton Dr",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023759",
"country_code": "US",
"telephone_number": "509-225-4669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YAKIMA VALLEY MEMORIAL PHYSICIANS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YAKIMA VALLEY MEMORIAL HOSPITAL",
"enumeration_date": "2006-10-06",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "MANAGER, PROVIDER DATA & ENROLLMENT",
"authorized_official_telephone_number": "253-459-8009"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0025654",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7128648",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "25654",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
- Yakima Valley Memorial Hospital Association (MultiCare Pharmacy - Cornerstone)
- Yakima Valley Memorial Hospital Association (Memorial Home Care Services)
- Yakima Valley Memorial Hospital Association (MultiCare Cancer Center Pharmacy - North Star Lodge)
- Yakima Valley Memorial Physicians
- Yakima Valley Memorial Physicians
- Yakima Valley Memorial Physicians
- Yakima Valley Memorial Physicians
- Yakima Valley Memorial Physicians
- Yakima Valley Professional Services on 12TH, PC (Cornerstone Medical Clinic)
- Yakima Valley Professional Services on Tieton, PC (Apple Valley Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.