| Unify Community Health Northeast | |
|
4001 N Cook St Spokane WA 99207-5879 | |
| (509) 483-3427 | |
| Not Available |
| Full Name | Unify Community Health Northeast |
|---|---|
| Speciality | Clinic/Center |
| Location | 4001 N Cook St, Spokane, Washington |
| Authorized Official Name and Position | Juan Carlos Olivares (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unify Community Health Northeast 4001 N Cook St Spokane WA 99207-5879 Ph: (509) 483-3427 | Unify Community Health Northeast 4001 N Cook St Spokane WA 99207-5879 Ph: (509) 483-3427 |
| NPI Number | 1932400546 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20120606000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932400546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600304660 (Washington) | Primary |
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