| Refuge Apc | |
|
100 N Howard St Ste 4000 Spokane WA 99201-0508 | |
| (839) 216-2036 | |
| Not Available |
| Full Name | Refuge Apc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Howard St Ste 4000, Spokane, Washington |
| Authorized Official Name and Position | Kathleen Mary Johnson (OWNER) |
| Authorized Official Contact | 8392162036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Refuge Apc 100 N Howard St Ste 4000 Spokane WA 99201-0508 Ph: (392) 162-0368 | Refuge Apc 100 N Howard St Ste 4000 Spokane WA 99201-0508 Ph: (839) 216-2036 |
| NPI Number | 1356124226 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 5698124022 |
|---|---|
| Medicare Enrollment ID | O20231211003539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356124226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kathleen M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366966616 PECOS PAC ID: 5698006773 Enrollment ID: I20231211003592 |
| Provider Name | Nicole Marie Mutnansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912459447 PECOS PAC ID: 5496097347 Enrollment ID: I20231227001108 |
| Provider Name | Heather Denise Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043559396 PECOS PAC ID: 4082920228 Enrollment ID: I20240127000412 |
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