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Organization
YAKIMA PRIMARY CARE, PLLC
Active
Organization
YAKIMA PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM W SIMMONS (DIRECTOR OF OPERATIONS)
(509) 248-7849
Entity
Organization
Contact information
Practice address
1008 S. 38TH AVENUE, YAKIMA, WA 98902-0000
(509) 249-9045
(509) 249-5041
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00020754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7055643
—
WA
05
—
7056898
—
WA
05
—
7056930
—
WA
05
—
7057045
—
WA
05
—
7057060
—
WA
Enumeration date
01/16/2008
Last updated
01/06/2010
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