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Contact Information

WA-SPOK MEDICAL CARE LLC
801 W FIFTH AVE
SUITE 422
SPOKANE, WA99204-2841
 Phone: 509-473-7250
 Fax: 509-473-3033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Hospice and Palliative Medicine

2084H0002X 17 Physician/Hospice and Palliative Care
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for WA-SPOK MEDICAL CARE LLC

NPI # 1649420019
LBN Legal business name WA-SPOK MEDICAL CARE LLC
Authorized official DEBBIE BREWER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2008
Last updated 02/01/2012 - About 14 years ago
Identifiers
WA Medicaid 7144553
WA Other 0242178 DEPT 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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