Memorial Physicians, P.L.L.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MEMORIAL PHYSICIANS, P.L.L.C.

Doing business as

Selah Family Medicine

Practice address

620 N. Park Drive
Selah, WA 98942-1326

Phone

(509) 697-5511

Fax

(509) 225-2707

NPI assigned

Feb 17, 2010

Last updated

Nov 25, 2013By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Selah Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1679895775",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N. PARK DRIVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421326",
            "telephone_number": "509-697-5511",
            "fax_number": "509-225-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2013-11-25",
        "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": "Selah Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael McKay, DDS
• Danna Stasha McKimmy, LMT
• Erica McKissack, RN
• Medical Associates of Yakima, LLC (Selah Family Medicine Clinic INC., PS)
• Medical Associates of Yakima, LLC (Paul E Emmans, JR., DO)
• Memorial Practice Management, LLC (Selah Family Medicine)
• Michael McKay DDS PLLC (Selah Smiles)
• Amy Laurel Miller, PA-C
• Megan Miller
• Jarron Mitchell

• Multi-Specialty Clinic/Center in Selah, WA
• Providers in Selah, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.