Active NPI
Memorial Physicians, PLLC
- Multi-Specialty Clinic/Center
- Yakima, WA
National Provider Identifier
1487976585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MEMORIAL PHYSICIANS, PLLC
- Doing business as
- YVMH Wound Management Services
- Practice address
- 2811 Tieton Dr
Yakima, WA 98902-3761 - Phone
- (509) 249-5242
- Fax
- (509) 249-5244
- NPI assigned
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Reed
- Title
- Chief Operating Officer
- Phone
- (509) 248-7849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2811 Tieton Dr
Yakima, WA 98902-3761
Mailing address
3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 248-7849
Other names 1
- YVMH Wound Management Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1487976585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022715",
"telephone_number": "509-248-7849",
"fax_number": "509-248-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761",
"telephone_number": "509-249-5242",
"fax_number": "509-249-5244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "509-248-7849"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YVMH Wound Management Services",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.