Active NPI
Yakima Primary Care, PLLC
- Multi-Specialty Clinic/Center
- Yakima, WA
National Provider Identifier
1922029008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- YAKIMA PRIMARY CARE, PLLC
- Practice address
- 1111 W Spruce St
Suite 30
Yakima, WA 98902-3257 - Phone
- (509) 575-1922
- Fax
- (509) 248-2501
- NPI assigned
- Jul 22, 2006
- 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
- Caroline George
- Title
- Director of Finance
- Phone
- (509) 248-7849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1111 W Spruce St
Suite 30
Yakima, WA 98902-3257
Mailing address
PO Box 2947
Yakima, WA 98907-2947
Phone (509) 248-7849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7055643 | Medicaid | WA |
Other names 1
- Richard B Boyd, MD
National Provider Directory
National Provider DirectoryLocations
1111 W Spruce St
Ste 30
Yakima, WA 98902
Phone (509) 575-1922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1922029008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2947",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989072947",
"telephone_number": "509-248-7849",
"fax_number": "509-249-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W SPRUCE ST",
"address_2": "SUITE 30",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023257",
"telephone_number": "509-575-1922",
"fax_number": "509-248-2501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAKIMA PRIMARY CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2007-11-21",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "509-248-7849"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7055643",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Richard B Boyd, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yakima, WA
- Yakima Orthotics and Prosthetics P C
- Yakima Otolaryngology & Facial Plastic Surgery, PLLC
- Yakima Plastic Surgery Associates, PC
- Yakima Primary Care, PLLC
- Yakima Primary Care, PLLC
- Yakima School District
- Yakima Specialties, Inc
- Yakima Surgical Associates, PLLC
- Yakima Urology Associates PLLC
- Yakima Urology Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.