Simplicity Direct Care, Pllc | |
2020 E 29th Ave Ste 110 Spokane WA 99203-3951 | |
(509) 779-8793 | |
(509) 241-9385 |
Full Name | Simplicity Direct Care, Pllc |
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Speciality | Clinic/Center |
Location | 2020 E 29th Ave Ste 110, Spokane, Washington |
Authorized Official Name and Position | Paula Aileen Dygert (OWNER) |
Authorized Official Contact | 5097798793 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simplicity Direct Care, Pllc 3435 S London Ct Spokane WA 99203-1655 Ph: (607) 343-4675 | Simplicity Direct Care, Pllc 2020 E 29th Ave Ste 110 Spokane WA 99203-3951 Ph: (509) 779-8793 |
NPI Number | 1104529189 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 05/04/2023 |
Medicare PECOS PAC ID | 2466813738 |
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Medicare Enrollment ID | O20230802003373 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104529189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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 |
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