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YAKIMA PRIMARY CARE PLLC NPI 1700815966


NPI Information

NPI: 1700815966
Provider Name: YAKIMA PRIMARY CARE, PLLC

Doing Business As: PAUL E. EMMANS JR., DO

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
118 S 2ND ST
SUITE B
SELAH, WA
ZIP 98942
Phone: (509) 698-3571
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YAKIMA PRIMARY CARE, PLLC is a multi-specialty clinic center in Selah, WA. YAKIMA PRIMARY CARE, PLLC NPI is 1700815966. The provider is registered as an organization entity type.
The provider Is Doing Business As Paul E. Emmans Jr., Do.

The provider's business location address is:

118 S 2ND ST
SUITE B
SELAH, WA
ZIP 98942-308
Phone: (509) 698-3571
Fax: (509) 698-3572

The provider's authorized official is Deborah Eells .
The authorized official title is Director Of Finance and has the following contact phone number (509) 966-5542.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 6/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GAB33468MEDICARE PINWASHINGTON
27056898MEDICAIDWASHINGTON
3CK5633MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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