| |
310 N Riverpoint Blvd Spokane WA 99202-1610 | |
(509) 505-7481 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 310 N Riverpoint Blvd, Spokane, Washington |
Authorized Official Name and Position | Melissa Bocardo (PRACTICE MANAGER) |
Authorized Official Contact | 5095057481 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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412 E Spokane Falls Blvd Spokane WA 99202-2131 Ph: (509) 505-7481 | 310 N Riverpoint Blvd Spokane WA 99202-1610 Ph: (509) 505-7481 |
NPI Number | 1750916953 |
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Provider Enumeration Date | 03/08/2020 |
Last Update Date | 07/12/2024 |
Medicare PECOS PAC ID | 3870902265 |
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Medicare Enrollment ID | O20210517000004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750916953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
Provider Name | Susan E Mcfadden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689669533 PECOS PAC ID: 1153325261 Enrollment ID: I20060901000353 |
Provider Name | Samuel E Schneider |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700831823 PECOS PAC ID: 3678582707 Enrollment ID: I20080131000018 |
Provider Name | Paula Dygert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609853993 PECOS PAC ID: 4486621919 Enrollment ID: I20160921001517 |
Provider Name | Luis R Manriquez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174969729 PECOS PAC ID: 2769623297 Enrollment ID: I20170602002333 |
Provider Name | Jessica Michelle Lewis Mowry |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1073161030 PECOS PAC ID: 4082076732 Enrollment ID: I20230814001231 |
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Emergency Responders Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rock Pointe Iii; Suite 1080, 1330 N. Washington Street, Spokane, WA 99201 Phone: 208-229-3742 Fax: 208-229-8450 |