MEMORIAL PHYSICIANS, P.L.L.C. (NPI# 1679895775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679895775 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, P.L.L.C. |
| Other Organization Name | SELAH FAMILY MEDICINE |
| Practice Address |
620 N. Park Drive Selah WA 98942-1326 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5096975511 |
| Practice Fax Number | 5092252707 |
| Mailing Telephone | 5092487849 |
| Enumeration Date | 2010-02-17 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Selah Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871815977 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste 300, Yakima, WA 98902-3679 | 2010-02-17 |
| 1588986681 | Memorial Physicians, P.l.l.c. | Clinic/Center | 3909 Creekside Loop, Suite 120, Yakima, WA 98902-4880 | 2010-02-17 |
| 1013239110 | Memorial Physicians, P.l.l.c. | Clinic/Center | 1008 S. 38th Ave, Yakima, WA 98902-0000 | 2010-02-17 |
| 1164744264 | Memorial Physicians, P.l.l.c. | Neurological Surgery | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2010-02-17 |
| 1316269418 | Memorial Physicians, P.l.l.c. | Clinic/Center | 4003 Creekside Loop, Yakima, WA 98908-3959 | 2010-02-17 |
| 1134441231 | Memorial Physicians, P.l.l.c. | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2010-02-17 |
| 1124340229 | Memorial Physicians, P.l.l.c. | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2010-02-17 |
| 1215259312 | Memorial Physicians, P.l.l.c. | Hospitalist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2010-02-17 |
| 1932421039 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste. 330, Yakima, WA 98902-3679 | 2010-02-17 |
| 1528390861 | Memorial Physicians, P.l.l.c. | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2010-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
620 N. PARK DRIVE |
| City | SELAH |
| State | WA |
| Zip Code | 98942-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316968688 | Shereen K Stocker | Nurse Practitioner | 620 N. Park Drive, Selah, WA 98942-1326 | 2006-07-22 |
| 1518981489 | David A Pommer | Family Medicine | 620 N. Park Drive, Selah, WA 98942 | 2006-07-26 |
| 1124049291 | James P Zingerman | Family Medicine | 620 N. Park Drive, Selah, WA 98942-1326 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063847580 | Rebekah Mccullough | Counselor | 107 W Orchard Ave, Selah, WA 98942 | 2013-09-04 |
| 1528305869 | Heather Renae Yochum | Registered Nurse | 207 Palmer Drive, Selah, WA 98942 | 2013-01-07 |
| 1669697223 | Nicholus Gentry | Counselor | 1790 Selah Loop Road #23, Selah, WA 98942 | 2007-04-16 |
| 1639296619 | Angela Marie Kelsey | Massage Therapist | 107 W Naches, Selah, WA 98942 | 2007-03-23 |
| 1093899338 | Jeffrey L Jennings | Psychiatry & Neurology | 691 S Wenas, Selah, WA 98942 | 2006-10-24 |
| 1215935069 | David Lee Lemmon | Chiropractor | 318 S 1st Street, Selah, WA 98942 | 2005-07-13 |
| 1275775645 | Memorial Practice Management, LLC | Clinic/Center | 118 S 2nd St, Yakima, WA 98942 | 2009-04-01 |
| 1821030123 | Washington State Dept. of Social & Health Services | Pharmacy | 609 Speyers Rd, Selah, WA 98942-1050 | 2006-06-12 |
| 1639129695 | Dshs/dda/yakima Valley School | Skilled Nursing Facility | 609 Speyers Road, Selah, WA 98942-1050 | 2006-05-11 |
| 1154967099 | Bupe Martha M Habiyambere | Nurse Practitioner | 609 Speyers Rd, Selah, WA 98942-1050 | 2019-11-26 |
| Find all providers in zip 98942 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972517704 | Yakima Valley Professional Services On Tieton, PC | Clinic/Center | 202 W Naches Ave, Selah, WA 98942-1326 | 2006-07-28 |
| 1700815966 | Yakima Primary Care, Pllc | Clinic/Center | 118 S 2nd St, Suite B, Selah, WA 98942-1308 | 2006-07-01 |
| 1548402167 | Memorial Practice Management, LLC | Clinic/Center | 202 W Naches Ave, Selah, WA 98942-1326 | 2009-03-27 |
| 1902078736 | Medical Associates of Yakima, LLC | Clinic/Center | 118 S 2nd St, Selah, WA 98942-1308 | 2008-04-01 |
| 1811169642 | Medical Associates of Yakima, LLC | Clinic/Center | 202 W Naches Ave, Selah, WA 98942-1326 | 2008-04-01 |
| 1902983174 | Selah Medical Center Inc. | Clinic/Center | 9 E 1st Ave, Suite 4, Selah, WA 98942-1400 | 2006-11-01 |
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|---|---|---|---|---|
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| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
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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.