| Excelsior Integrated Care Center Llc | |
|
3910 W. Indian Trail Rd Spokane WA 99208-4739 | |
| (509) 559-3100 | |
| (509) 328-7582 |
| Full Name | Excelsior Integrated Care Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3910 W. Indian Trail Rd, Spokane, Washington |
| Authorized Official Name and Position | Dovie Britton (CONTRACTING AND CREDENTIALING COORD) |
| Authorized Official Contact | 5095593132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Integrated Care Center Llc 3754 W Indian Trail Rd Spokane WA 99208-4736 Ph: (509) 559-3100 | Excelsior Integrated Care Center Llc 3910 W. Indian Trail Rd Spokane WA 99208-4739 Ph: (509) 559-3100 |
| NPI Number | 1326672692 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326672692 | NPI | - | NPPES |
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