Organization Active NPI

Yakima Valley Memorial Physicians

  • General Acute Care Hospital
  • Yakima, WA
National Provider Identifier
1306933940
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
YAKIMA VALLEY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0025654OtherWALABOR AND INDUSTRIES
7128648MedicaidWA
25654OtherWALABOR AND INDUSTRIES #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

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.

View all 584

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

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.

Verify at the official NPI Registry.