| Spokane Falls Family Clinic | |
|
120 W Mission Ave Spokane WA 99201-2315 | |
| (509) 326-4343 | |
| (509) 326-4289 |
| Full Name | Spokane Falls Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 W Mission Ave, Spokane, Washington |
| Authorized Official Name and Position | Juan Carlos Olivares (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Falls Family Clinic Po Box 190 Toppenish WA 98948-0190 Ph: (509) 326-4343 | Spokane Falls Family Clinic 120 W Mission Ave Spokane WA 99201-2315 Ph: (509) 326-4343 |
| NPI Number | 1922051978 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20100823000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922051978 | NPI | - | NPPES |
| 7107915 | Medicaid | WA | |
| 30820 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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