Excelsior Integrated Care Center Llc | |
3910 W. Indian Trail Rd Spokane WA 99208-4739 | |
(509) 559-3100 | |
(509) 328-7582 |
Full Name | Excelsior Integrated Care Center Llc |
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Speciality | Community/behavioral Health |
Location | 3910 W. Indian Trail Rd, Spokane, Washington |
Authorized Official Name and Position | Dovie Britton (CONTRACTING AND CREDENTIALING COORD) |
Authorized Official Contact | 5095593132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Excelsior Integrated Care Center Llc 3754 W Indian Trail Rd Spokane WA 99208-4736 Ph: (509) 559-3100 | Excelsior Integrated Care Center Llc 3910 W. Indian Trail Rd Spokane WA 99208-4739 Ph: (509) 559-3100 |
NPI Number | 1326672692 |
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Provider Enumeration Date | 02/26/2020 |
Last Update Date | 10/27/2020 |
Certification Date | 10/27/2020 |
Identifier | Type | State | Issuer |
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1326672692 | NPI | - | NPPES |
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