| Cross Functional Medical Care Pa | |
|
4111 W Hiawatha Dr Spokane WA 99208-4970 | |
| (305) 204-9909 | |
| Not Available |
| Full Name | Cross Functional Medical Care Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4111 W Hiawatha Dr, Spokane, Washington |
| Authorized Official Name and Position | Keely Strong (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 3052049909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Functional Medical Care Pa 4111 W Hiawatha Dr Spokane WA 99208-4970 Ph: (305) 204-9909 | Cross Functional Medical Care Pa 4111 W Hiawatha Dr Spokane WA 99208-4970 Ph: (305) 204-9909 |
| NPI Number | 1962277061 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 1153760988 |
|---|---|
| Medicare Enrollment ID | O20240412002916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962277061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Estherline Exume-noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437518933 PECOS PAC ID: 1052677697 Enrollment ID: I20171114002671 |
| Provider Name | Erika Regis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871856211 PECOS PAC ID: 1658722608 Enrollment ID: I20240104000526 |
| Provider Name | Adrienne Honora Clarice Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912624388 PECOS PAC ID: 1355780941 Enrollment ID: I20240416000694 |
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