| Ascend Network Corp | |
|
3711 W Woodside Spokane WA 99208 | |
| (208) 718-2528 | |
| (509) 232-5547 |
| Full Name | Ascend Network Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3711 W Woodside, Spokane, Washington |
| Authorized Official Name and Position | Terrese A Donnelly (OWNER) |
| Authorized Official Contact | 2088501886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Network Corp 3711 W Woodside Spokane WA 99208 Ph: (208) 718-2528 | Ascend Network Corp 3711 W Woodside Spokane WA 99208 Ph: (208) 718-2528 |
| NPI Number | 1912496035 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 2961813845 |
|---|---|
| Medicare Enrollment ID | O20201125000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912496035 | NPI | - | NPPES |
| Provider Name | Kristin A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427247410 PECOS PAC ID: 6002904000 Enrollment ID: I20071207000578 |
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