Lutheran Community Services Northwest | |
210 W Sprague Ave Spokane WA 99201-3627 | |
(509) 747-8224 | |
(509) 747-0609 |
Full Name | Lutheran Community Services Northwest |
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Speciality | Community/behavioral Health |
Location | 210 W Sprague Ave, Spokane, Washington |
Authorized Official Name and Position | David Bruxer (CQI DIRECTOR) |
Authorized Official Contact | 5097478224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lutheran Community Services Northwest 210 W Sprague Ave Spokane WA 99201-3627 Ph: (509) 747-8224 | Lutheran Community Services Northwest 210 W Sprague Ave Spokane WA 99201-3627 Ph: (509) 747-8224 |
NPI Number | 1609900307 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 06/23/2009 |
Identifier | Type | State | Issuer |
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1609900307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 602 128 998 (Washington) | Primary |
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