Cornerstone Medical Clinic

LBN: Memorial Practice Management, Llc
Cornerstone Medical Clinic is an health care organization with primary practice located at 402 S 12Th Ave , Yakima WA 98902-3115. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Memorial Practice Management, Llc can be contacted via phone (509) 248-3263, or through Simmons, Jim W via phone (509) 248-7849.

Contact Information

Primary practice address
402 S 12Th Ave Yakima WA 98902-3115
Phone: (509) 248-3263
Fax: (509) 573-3818
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Jim W
Phone: (509) 248-7849

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Washington

Profile Details

NPI number 1194967562
LBN Legal business name Memorial Practice Management, Llc
DBA Doing business as Cornerstone Medical Clinic
Authorized official Simmons, Jim W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2009
Last updated Apr 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194967562 NPPES
Washington MEDICAID 7056922

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