| New Health Lake Spokane Dental | |
|
5952 Blackstone Way #100 Nine Mile Falls WA 99026 | |
| (509) 464-0002 | |
| (509) 464-2378 |
| Full Name | New Health Lake Spokane Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5952 Blackstone Way #100, Nine Mile Falls, Washington |
| Authorized Official Name and Position | Donna Poe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5099356001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Lake Spokane Dental Po Box 808 Chewelah WA 99109-0808 Ph: (509) 935-6001 | New Health Lake Spokane Dental 5952 Blackstone Way #100 Nine Mile Falls WA 99026 Ph: (509) 464-0002 |
| NPI Number | 1235455932 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235455932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Suncrest Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5998 Highway 291, #5, Nine Mile Falls, WA 99026 Phone: 509-468-4770 Fax: 509-468-4659 | |
New Health Lake Spokane Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5952 Blackstone Way, Nine Mile Falls, WA 99026 Phone: 509-464-3627 Fax: 509-466-9517 |