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Contact Information

MC-NSPK LLC
5901 N. LIDGERWOOD
STE 233
SPOKANE, WA99208
 Phone: 509-489-4763
 Fax: 509-489-4767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MC-NSPK LLC

NPI # 1164462487
LBN Legal business name MC-NSPK LLC
Authorized official MARSHALL GIBBS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 06/28/2018 - About 8 years ago
Identifiers
WA License # 60240234
WA License # 8440
WA License # 8853
WA Medicaid 5031968
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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