Organization
PINNACLE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHIJIT G DESHPANDE M.D (OWNER)
(509) 248-0497
Entity
Organization
Contact information
Practice address
1460 N 16TH AVE, STE. B, YAKIMA, WA 98902-7102
(509) 248-0497
(509) 248-4167
Mailing address
1460 N 16TH AVE, STE. B, YAKIMA, WA 98902-7102
(509) 248-0497
(509) 248-4167
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
MD00033867
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1116938
DSHS
WA
01
—
607333500
OFFICE OF WORKERS COMP
WA
05
—
7127699
—
WA
01
—
9056631
DME SUPPLIER FOR DSHS
WA
01
—
P00217647
MEDICARE RAILROAD NUMBER
WA
Enumeration date
08/02/2005
Last updated
09/08/2009
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