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Contact Information

MAXIM HEALTHCARE SERVICES, INC,
16201 E INDIANA AVE STE 3400
SPOKANE VALLEY, WA99216-2830
 Phone: 509-324-6421
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for MAXIM HEALTHCARE SERVICES, INC,

NPI Number 1447364948
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC,
Authorized official DAVID KOWALCZYK - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2006
Last updated 09/18/2024 - More than a year ago
Identifiers
WA License # IS-374
ID Medicaid 807748800
ID Medicaid 807748801
ID Medicaid 807748802
WA Medicaid 2199737
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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