| North Central | |
|
914 W Carlisle Ave Spokane WA 99205-3309 | |
| (509) 444-8888 | |
| (509) 444-7806 |
| Full Name | North Central |
|---|---|
| Speciality | Clinic/Center |
| Location | 914 W Carlisle Ave, 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 |
|---|---|
| North Central 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | North Central 914 W Carlisle Ave Spokane WA 99205-3309 Ph: (509) 444-8888 |
| NPI Number | 1295946101 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 9638063217 |
|---|---|
| Medicare Enrollment ID | O20181205000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295946101 | NPI | - | NPPES |
| 7115793 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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