| Chidi Family Clinic, Pllc | |
|
521 N Argonne Rd Ste B101 Spokane Valley WA 99212-2877 | |
| (509) 844-6550 | |
| Not Available |
| Full Name | Chidi Family Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 521 N Argonne Rd Ste B101, Spokane Valley, Washington |
| Authorized Official Name and Position | Ebere Doris Ugorji (ARNP) |
| Authorized Official Contact | 5098446550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chidi Family Clinic, Pllc 4920 S Ferrall St Spokane WA 99223-7132 Ph: (509) 844-6550 | Chidi Family Clinic, Pllc 521 N Argonne Rd Ste B101 Spokane Valley WA 99212-2877 Ph: (509) 844-6550 |
| NPI Number | 1215450697 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Medicare PECOS PAC ID | 6103190780 |
|---|---|
| Medicare Enrollment ID | O20170920001827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215450697 | NPI | - | NPPES |
| 1497100598 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP60631861 (Washington) | Primary |
| Provider Name | Kingsley Ccameroon Ugorji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932122116 PECOS PAC ID: 8123172889 Enrollment ID: I20090813000803 |
| Provider Name | Ebere Ugorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497100598 PECOS PAC ID: 6608162334 Enrollment ID: I20160907001136 |
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