Provider Demographics
NPI:1326651191
Name:SUMMITVIEW URGENT CARE INC
Entity Type:Organization
Organization Name:SUMMITVIEW URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETTY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-965-1827
Mailing Address - Street 1:6101 SUMMITVIEW AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3028
Mailing Address - Country:US
Mailing Address - Phone:509-902-8856
Mailing Address - Fax:
Practice Address - Street 1:6101 SUMMITVIEW AVE STE 200
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3028
Practice Address - Country:US
Practice Address - Phone:509-902-8858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care