Active NPI
SHC Medical Center - Yakima
- Rehabilitation Hospital Unit
- Yakima, WA
National Provider Identifier
1437677671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- SHC MEDICAL CENTER - YAKIMA
- Practice address
- 110 S 9TH Ave
Yakima, WA 98902-3315 - Phone
- (509) 575-5102
- Fax
- (509) 456-6193
- NPI assigned
- Sep 8, 2017
- Last updated
- Oct 10, 2024
- Organization subpart
- Yes
- Parent organization
- SHC MEDICAL CENTER YAKIMA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathew Mathiesen
- Title
- Cfo
- Phone
- (509) 837-1356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Primary |
Addresses
Primary practice location
110 S 9TH Ave
Yakima, WA 98902-3315
Mailing address
PO Box 719
Sunnyside, WA 98944-0719
National Provider Directory
National Provider Directory- Part of
- SHC Medical Center Yakima
Locations
1005 W Walnut St
Ste 105
Yakima, WA 98902
Phone (509) 454-6130
111 S 11th Ave
Ste 122
Yakima, WA 98902
Phone (509) 575-5000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Vascular & Interventional Radiology Physician
- Sunnyside, WA
- NPI 1912932658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1437677671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 9TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023315",
"telephone_number": "509-575-5102",
"fax_number": "509-456-6193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHC MEDICAL CENTER - YAKIMA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHC MEDICAL CENTER YAKIMA",
"enumeration_date": "2017-09-08",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "MATHIESEN",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "509-837-1356"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.