Organization
MEMORIAL PRACTICE MANAGEMENT, LLC
Active
Other names
Family Medicine of Yakima
Organization subpart
No
Provider details
NPI number
Authorized official
JIM W SIMMONS (CHIEF FINANCIAL OFFICER)
(509) 248-7849
Entity
Organization
Contact information
Practice address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
(509) 966-3283
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057052
—
WA
Enumeration date
03/25/2009
Last updated
03/27/2009
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