MEMORIAL PHYSICIANS, PLLC (NPI# 1164718482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164718482 |
Entity Type | Organization |
Organization Name | MEMORIAL PHYSICIANS, PLLC |
Other Organization Name | MEMORIAL SLEEP SPECIALISTS ELLENSBURG |
Practice Address |
100 E Jackson Ave Ste. 102 Ellensburg WA 98926-3692 |
Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
Practice Telephone | 5095743383 |
Practice Fax Number | 5092252705 |
Mailing Telephone | 5092495066 |
Mailing Fax Number | 5092495042 |
Enumeration Date | 2011-06-24 |
Last Update Date | 2013-11-25 |
Authorized Official Name | TIMOTHY REED (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 5092487849 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 602902835 | WA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Memorial Sleep Specialists Ellensburg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
1689098436 | Memorial Physicians, Pllc | Clinic/Center | 120 S 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2014-02-14 |
1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
1558683334 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 130, Yakima, WA 98902-4880 | 2010-02-22 |
1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
1760966022 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-09-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
Street Address |
100 E JACKSON AVE STE. 102 |
City | ELLENSBURG |
State | WA |
Zip Code | 98926-3692 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255409850 | Central Hand Therapy, PC | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 200, Ellensburg, WA 98926 | 2006-12-01 |
1437631959 | Kittitas County Public Hospital Dist 1 | Pediatrics | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-08-31 |
1043796956 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-07-13 |
1962938183 | Memorial Physicians, Pllc | Podiatrist | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-05-08 |
1962949701 | Memorial Physicians, Pllc | Internal Medicine | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-01-31 |
1205386505 | Canyon View Physical Therapy | Clinic/Center | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-10-11 |
1528514072 | Nicholas Gray | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-08-25 |
1124457387 | Canyon View Physical Therapy | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-11-07 |
1568802593 | Cheri D Harrell | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-07-05 |
1306189741 | Memorial Physicians, Pllc | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2013-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
Find all providers in zip 98926 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831743731 | Mobile Anesthesia Professionals Pllc | Clinic/Center | 450 Lariat Ln, Ellensburg, WA 98926-5011 | 2019-07-29 |
1649639014 | Kittias County Public Hospital District #1 | Clinic/Center | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2016-02-15 |
1619263936 | Memorial Physicians, Pllc | Clinic/Center | 100 E Jackson Ave, Ste. 102, Ellensburg, WA 98926-3692 | 2011-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
Find all providers with the same taxonomy |
City | ELLENSBURG |
Zip Code | 98926 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.