| Market Street Clinic | |
|
5921 N Market St Spokane WA 99208-2484 | |
| (509) 444-8200 | |
| (509) 444-7806 |
| Full Name | Market Street Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5921 N Market St, Spokane, 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 |
|---|---|
| Market Street Clinic 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | Market Street Clinic 5921 N Market St Spokane WA 99208-2484 Ph: (509) 444-8200 |
| NPI Number | 1003994252 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/21/2020 |
| Medicare PECOS PAC ID | 9638063217 |
|---|---|
| Medicare Enrollment ID | O20100922000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003994252 | NPI | - | NPPES |
| 7079676 | Medicaid | WA | |
| DA6658 | Other | MEDICARE PALMETTO RAIL RD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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