Organization Active NPI

Yakima Primary Care, PLLC

  • Multi-Specialty Clinic/Center
  • Selah, WA
National Provider Identifier
1700815966
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
YAKIMA PRIMARY CARE, PLLC
Practice address
118 S 2ND St
Suite B
Selah, WA 98942-1308
Phone
(509) 698-3571
Fax
(509) 698-3572
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Deborah Eells
Title
Director of Finance
Phone
(509) 966-5542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

118 S 2ND St
Suite B
Selah, WA 98942-1308

Mailing address

118 S 2ND St
Suite B
Selah, WA 98942-1308
Phone (509) 698-3571

Other identifiers 1

IdentifierTypeStateIssuer
7056898MedicaidWA

Other names 1

  • Paul E. Emmans JR., DO Doing business as

National Provider Directory

National Provider Directory

Locations

118 S 2nd St
Ste B
Selah, WA 98942
Phone (509) 698-3571

1020 S 40th Ave
Ste C
Yakima, WA 98908
Phone (509) 966-3968

3800 Summitview Ave
Yakima, WA 98902
Phone (509) 248-7849

1470 N 16th Ave
Yakima, WA 98902
Phone (509) 574-3300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1700815966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S 2ND ST",
            "address_2": "SUITE B",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421308",
            "telephone_number": "509-698-3571",
            "fax_number": "509-698-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S 2ND ST",
            "address_2": "SUITE B",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421308",
            "telephone_number": "509-698-3571",
            "fax_number": "509-698-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "EELLS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "509-966-5542",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056898",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul E. Emmans JR., DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.