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15812 E. Indiana Ave. Spokane Valley WA 99216 | |
(509) 444-8206 | |
(509) 444-7806 |
Full Name | |
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Speciality | Clinic/Center |
Location | 15812 E. Indiana Ave., Spokane Valley, Washington |
Authorized Official Name and Position | Aaron Wilson (CEO) |
Authorized Official Contact | 5094448888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | 15812 E. Indiana Ave. Spokane Valley WA 99216 Ph: (509) 444-8206 |
NPI Number | 1336219088 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/21/2020 |
Medicare PECOS PAC ID | 9638063217 |
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Medicare Enrollment ID | O20100922000238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336219088 | NPI | - | NPPES |
DA6658 | Other | MEDICARE PALMETTO RAIL RD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pure Healthcare Of Washington Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16201 E Indiana Ave Ste 3100, Spokane Valley, WA 99216 Phone: 509-418-9880 Fax: 509-267-3119 | |
Spokane Valley Neuropathy Relief Center, P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12409 E Mission Ave, Suite 102, Spokane Valley, WA 99216 Phone: 509-926-5117 Fax: 509-926-5197 | |
Integra Health And Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16201 E Indiana Ave Ste 2260, Spokane Valley, WA 99216 Phone: 509-970-5750 |