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Contact Information

COLONIAL CLINIC III, LLC
910 N WASHINGTON ST STE 210
SPOKANE, WA99201-2260
 Phone: 509-327-9831
 Fax: 509-327-9857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for COLONIAL CLINIC III, LLC

NPI # 1447590757
LBN Legal business name COLONIAL CLINIC III, LLC
Authorized official THOMAS H. STOLZ STOLZ - (CLINIC DIRECTOR/COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2013
Last updated 02/22/2013 - About 13 years ago
Identifiers
WA License # 32025500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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