Organization
SHC MEDICAL CENTER TOPPENISH
Active
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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