YAKIMA VALLEY MEMORIAL PHYSICIANS
Complete NPI Record 1306933940
General Acute Care Hospital in Yakima, WA
Active since October 06, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for Yakima Valley Memorial Physicians (NPI 1306933940), a general acute care hospital organization in Yakima, WA. All 45 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1306933940 Field 1/45
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/45
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/45
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: YAKIMA VALLEY MEMORIAL PHYSICIANS Field 4/45
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 9787 Field 5/45
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: YAKIMA Field 6/45
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: WA Field 7/45
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 98909 Field 8/45
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/45
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5095743353 Field 10/45
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 5092253168 Field 11/45
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 2811 TIETON DRIVE Field 12/45
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: YAKIMA Field 13/45
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: WA Field 14/45
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 98902 Field 15/45
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/45
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5095758825 Field 17/45
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 5095775056 Field 18/45
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: WILLIAMS Field 21/45
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: KELLY Field 22/45
- The first name of the authorized official.
- Authorized Official Title or Position: MANAGER, PROVIDER DATA & ENROLLMENT Field 23/45
- The title or position of the authorized official.
- Authorized Official Telephone Number: 2534598009 Field 24/45
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261Q00000X Field 25/45
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 26/45
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 261QM1300X Field 27/45
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 28/45
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 282N00000X Field 29/45
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: Y Field 30/45
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 0025654 Field 31/45
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 01 Field 32/45
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: WA Field 33/45
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 1: LABOR AND INDUSTRIES Field 34/45
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Other Provider Identifier 2: 7128648 Field 35/45
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 05 Field 36/45
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: WA Field 37/45
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 3: 25654 Field 38/45
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 3: 01 Field 39/45
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 3: WA Field 40/45
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 3: LABOR AND INDUSTRIES # Field 41/45
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Organization Subpart: Y Field 42/45
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: YAKIMA VALLEY MEMORIAL HOSPITAL Field 43/45
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 44/45
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Secondary Practice Locations 29
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
302 S 10th Ave
Location 1/29Yakima, WA 98902-3521 · Phone (509) 574-3600 · Fax (509) 574-3654
3003 Tieton Dr
Location 2/29Yakima, WA 98902-3679 · Phone (509) 248-7716 · Fax (509) 249-5244
1460 N 16th Ave Ste D
Location 3/29Yakima, WA 98902-7102 · Phone (509) 574-3805 · Fax (509) 576-7620
808 N 39th Ave
Location 4/29Yakima, WA 98902-6388 · Phone (509) 574-3400 · Fax (509) 574-3464
406 S 30th Ave Ste 101
Location 5/29Yakima, WA 98902-3713 · Phone (509) 248-7715 · Fax (509) 453-4319
3801 Kern Road
Location 6/29Yakima, WA 98902-6340 · Phone (509) 574-3200 · Fax (509) 574-3210
1812 E. Edison Ave
Location 7/29Sunnyside, WA 98944 · Phone (509) 837-0658 · Fax (509) 837-0653
100 E Jackson Ave Ste 201
Location 8/29Ellensburg, WA 98926-3692 · Phone (509) 248-7715 · Fax (509) 453-4319
100 E Jackson Ave Ste 104
Location 9/29Ellensburg, WA 98926-3693 · Phone (509) 962-8611 · Fax (509) 962-8620
1601 Creekside Loop
Location 10/29Yakima, WA 98902-4882 · Phone (509) 575-1000 · Fax (509) 225-2703
1470 N 16th Ave Ste D
Location 11/29Yakima, WA 98902-1381 · Phone (509) 574-6000 · Fax (509) 225-2714
1008 S 38th Ave
Location 12/29Yakima, WA 98902-3953 · Phone (509) 965-1035 · Fax (509) 225-2700
504 N 40th Ave
Location 13/29Yakima, WA 98908-4311 · Phone (509) 966-9480 · Fax (509) 225-2712
3003 Tieton Dr Ste 230
Location 14/29Yakima, WA 98902-3684 · Phone (509) 575-8307 · Fax (509) 225-2716
616 Railroad Ave Ste 1&2
Location 15/29Zillah, WA 98953 · Phone (509) 972-1190 · Fax (509) 249-4460
620 N Park Dr
Location 16/29Selah, WA 98942-4100 · Phone (509) 697-5511 · Fax (509) 225-2703
303 Holton Ave
Location 17/29Yakima, WA 98902-3239 · Phone (509) 575-7653 · Fax (509) 248-3723
1607 Creekside Loop Ste 100
Location 18/29Yakima, WA 98902-4882 · Phone (509) 453-4614 · Fax (509) 225-2712
3909 Creekside Loop Ste 115
Location 19/29Yakima, WA 98902-4880 · Phone (509) 574-6095 · Fax (509) 574-6098
311 S 72nd Ave
Location 20/29Yakima, WA 98908-1661 · Phone (509) 972-1818 · Fax (509) 574-6098
1607 Creekside Loop Ste 140
Location 21/29Yakima, WA 98902-4882 · Phone (509) 248-4900 · Fax (509) 248-0609
3909 Creekside Loop Ste 120
Location 22/29Yakima, WA 98902-4880 · Phone (509) 248-6616 · Fax (509) 225-2708
3003 Tieton Dr Ste 350
Location 23/29Yakima, WA 98902-3690 · Phone (509) 573-3939 · Fax (509) 574-5831
120 S 72nd Ave Ste 102
Location 24/29Yakima, WA 98908-4200 · Phone (509) 972-1259 · Fax (509) 972-1258
4003 Creekside Loop
Location 25/29Yakima, WA 98908-3962 · Phone (509) 248-3263 · Fax (509) 225-2702
406 S 30th Ave Ste 206
Location 26/29Yakima, WA 98902-3713 · Phone (509) 574-3383 · Fax (509) 225-2705
1515 W Yakima Ave
Location 27/29Yakima, WA 98902-2950 · Phone (509) 574-3863 · Fax (509) 249-5319
3003 Tieton Dr Ste 300
Location 28/29Yakima, WA 98902-3686 · Phone (509) 575-3946 · Fax (509) 225-2701
2701 Tieton Dr
Location 29/29Yakima, WA 98902-3759 · Phone (509) 225-4669
Other Provider Identifiers 3
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
0025654 Other
Identifier 1/3State: WA · Issuer: Labor And Industries
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
7128648 Medicaid
Identifier 2/3State: WA
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
25654 Other
Identifier 3/3State: WA · Issuer: Labor And Industries #
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
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