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Contact Information

NORTHWEST CENTER FOR CONGENITAL HEART DISEASE
101 W 8TH AVE
SUITE 4300
SPOKANE, WA99204-2307
 Phone: 509-747-6707
 Fax: 509-624-9186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NORTHWEST CENTER FOR CONGENITAL HEART DISEASE

NPI # 1548272453
LBN Legal business name NORTHWEST CENTER FOR CONGENITAL HEART DISEASE
Authorized official HRAIR GARABEDIAN - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR Medicaid 213519
WA Medicaid 7042328
Other 0194170 L & I
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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