Native Project | |
1803 W Maxwell Ave Spokane WA 99201 | |
(509) 325-5502 | |
Not Available |
Full Name | Native Project |
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Speciality | Clinic/Center |
Location | 1803 W Maxwell Ave, Spokane, Washington |
Authorized Official Name and Position | Toni Lodge (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5093255502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Native Project 1803 W Maxwell Ave Spokane WA 99201 Ph: (509) 325-5502 | Native Project 1803 W Maxwell Ave Spokane WA 99201 Ph: (509) 325-5502 |
NPI Number | 1326123670 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 12/05/2014 |
Medicare PECOS PAC ID | 8921999129 |
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Medicare Enrollment ID | O20040324001106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326123670 | NPI | - | NPPES |
7591100 | Medicaid | WA | |
7098320 | Medicaid | WA | |
1003480 | Medicaid | WA | |
1007817 | Medicaid | WA |
Provider Name | William H Sammond |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1396886800 PECOS PAC ID: 1557341039 Enrollment ID: I20040723001138 |
Provider Name | Gilbert R Escandon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194760769 PECOS PAC ID: 6305884370 Enrollment ID: I20050420000646 |
Provider Name | Nancy Corley-wheeler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689725376 PECOS PAC ID: 2769406909 Enrollment ID: I20060116000011 |
Provider Name | John F Mccarthy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699795823 PECOS PAC ID: 4385739622 Enrollment ID: I20071002000684 |
Provider Name | Danica E Parkin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588902597 PECOS PAC ID: 0345471991 Enrollment ID: I20140324001078 |
Provider Name | Geoffrey K Mwangi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407190606 PECOS PAC ID: 8527285535 Enrollment ID: I20140815000634 |
Provider Name | Elizabeth M Stuhlmiller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477816502 PECOS PAC ID: 6305162009 Enrollment ID: I20150223001484 |
Provider Name | Douglas Ray Tanner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063899185 PECOS PAC ID: 2365795184 Enrollment ID: I20181024003296 |
Provider Name | Kendra Renee' Darnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265080212 PECOS PAC ID: 6305276866 Enrollment ID: I20200423002530 |
Provider Name | Misty Lea Tomeo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558557157 PECOS PAC ID: 6608249461 Enrollment ID: I20230227002300 |
Provider Name | Michael Shane Garcia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619126851 PECOS PAC ID: 5193113207 Enrollment ID: I20230303000055 |
Provider Name | Deana M Spencer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275925661 PECOS PAC ID: 0941611149 Enrollment ID: I20240409001739 |
Provider Name | Claire Aberasturi |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740686146 PECOS PAC ID: 1759783194 Enrollment ID: I20240412003972 |
Provider Name | Heather Bowles |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952593600 PECOS PAC ID: 6204230030 Enrollment ID: I20240417002459 |
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