# CENTRAL WASHINGTON PODIATRY SERVICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL WASHINGTON PODIATRY SERVICE PLLC
- **Other names:** Central Washington Surgicare Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356520548
- **Legal business name:** CENTRAL WASHINGTON PODIATRY SERVICE PLLC
- **Authorized official:** ANN F ORMINSKI (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (509) 248-4900

## Contact information

- **Practice address:** 307 S 12TH AVE, SUITE \#9, YAKIMA, WA 98902-3100
- **Practice address phone:** (509) 248-4900
- **Practice address fax:** (509) 248-0609
- **Mailing address:** 307 S 12TH AVE, SUITE \#9, YAKIMA, WA 98902-3100
- **Mailing address phone:** (509) 248-4900
- **Mailing address fax:** (509) 248-0609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 02/27/2008