Pacific Crest Family Medicine

LBN: Memorial Practice Management, Llc
Pacific Crest Family Medicine is an health care organization with primary practice located at 311 S 72Nd Ave , Yakima WA 98908-1661. 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) 972-1818, or through Simmons, Jim W via phone (509) 248-7849.

Contact Information

Primary practice address
311 S 72Nd Ave Yakima WA 98908-1661
Phone: (509) 972-1818
Fax: (509) 972-7842
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 1609018076
LBN Legal business name Memorial Practice Management, Llc
DBA Doing business as Pacific Crest Family Medicine
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 1609018076 NPPES
Washington MEDICAID 7091168

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