| Passages Family Support A Nonprofit Corporation | |
|
1700 S Assembly St Ste 300 Spokane WA 99224-2116 | |
| (509) 892-9241 | |
| (509) 892-9251 |
| Full Name | Passages Family Support A Nonprofit Corporation |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1700 S Assembly St Ste 300, Spokane, Washington |
| Authorized Official Name and Position | Rebecca A Hammill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5099985692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passages Family Support A Nonprofit Corporation 1700 S Assembly St Ste 300 Spokane WA 99224-2116 Ph: (509) 892-9241 | Passages Family Support A Nonprofit Corporation 1700 S Assembly St Ste 300 Spokane WA 99224-2116 Ph: (509) 892-9241 |
| NPI Number | 1942518865 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 1153670757 |
|---|---|
| Medicare Enrollment ID | O20180815000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942518865 | NPI | - | NPPES |
| Provider Name | Rebecca A Hammill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487015343 PECOS PAC ID: 2961758586 Enrollment ID: I20180711002722 |
| Provider Name | Anna E Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427529106 PECOS PAC ID: 5193130052 Enrollment ID: I20210226002000 |
| Provider Name | Teresa K Orozco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700406857 PECOS PAC ID: 0143602722 Enrollment ID: I20220811003709 |
| Provider Name | Jordan Ruger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205333762 PECOS PAC ID: 4284017799 Enrollment ID: I20220816003359 |
| Provider Name | Clayton Pulver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407562192 PECOS PAC ID: 9638532641 Enrollment ID: I20230823003851 |
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