Spokane Tribe Of Indians | |
6228 E. School Road Wellpinit WA 99040 | |
(509) 258-7502 | |
(509) 258-7502 |
Full Name | Spokane Tribe Of Indians |
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Speciality | Community/behavioral Health |
Location | 6228 E. School Road, Wellpinit, Washington |
Authorized Official Name and Position | Richard L. Sherwood (CHAIRMAN) |
Authorized Official Contact | 5092587502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spokane Tribe Of Indians 6228 E. School Road Wellpinit WA 99040-0100 Ph: (509) 258-7502 | Spokane Tribe Of Indians 6228 E. School Road Wellpinit WA 99040 Ph: (509) 258-7502 |
NPI Number | 1467644294 |
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Provider Enumeration Date | 08/15/2007 |
Last Update Date | 08/15/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467644294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1980770 (Washington) | Primary |
251S00000X | Community/behavioral Health | 1992841 (Washington) | Secondary |