Provider Demographics
NPI:1851350888
Name:S & A YORK INC
Entity Type:Organization
Organization Name:S & A YORK INC
Other - Org Name:NCW PROSTHETIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:A
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPO
Authorized Official - Phone:509-663-2336
Mailing Address - Street 1:610 N MISSION ST
Mailing Address - Street 2:STE 106
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2065
Mailing Address - Country:US
Mailing Address - Phone:509-663-2336
Mailing Address - Fax:509-664-9526
Practice Address - Street 1:610 N MISSION ST
Practice Address - Street 2:STE 106
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2065
Practice Address - Country:US
Practice Address - Phone:509-663-2336
Practice Address - Fax:509-664-9526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPS00000062335E00000X
WAOI00000053335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9051061Medicaid
WA0149362OtherLABOR & INDUSTRIES
WA0149362OtherLABOR & INDUSTRIES