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Organization

SHC MEDICAL CENTER TOPPENISH

Active
Other names
Vintage Valley Family Med
Organization subpart
No

Provider details

NPI number
Authorized official
MATHEW MATHIESEN (CFO)
(509) 837-1379
Entity
Organization

Contact information

Practice address
915 VINTAGE VALLEY PKWY STE 200, ZILLAH, WA 98953-9800
(509) 829-5151
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
600581630
WA
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
05/24/2017
Last updated
10/09/2024
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