| Parkside Clinic | |
|
3002 E. Mission Avenue Spokane WA 99202 | |
| (509) 444-8888 | |
| (509) 444-7806 |
| Full Name | Parkside Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3002 E. Mission Avenue, Spokane, Washington |
| Authorized Official Name and Position | Nathan Halvorson (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 5094448888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Clinic 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | Parkside Clinic 3002 E. Mission Avenue Spokane WA 99202 Ph: (509) 444-8888 |
| NPI Number | 1528279437 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 9638063217 |
|---|---|
| Medicare Enrollment ID | O20240319001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528279437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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