| Horizon Palliative Care | |
|
608 E Holland Ave Spokane WA 99218-1255 | |
| (509) 489-4581 | |
| (509) 482-0717 |
| Full Name | Horizon Palliative Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 608 E Holland Ave, Spokane, Washington |
| Authorized Official Name and Position | Loren Michael Guske (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 5094894581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Palliative Care 608 E Holland Ave Spokane WA 99218-1255 Ph: (509) 489-4581 | Horizon Palliative Care 608 E Holland Ave Spokane WA 99218-1255 Ph: (509) 489-4581 |
| NPI Number | 1083164057 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Medicare PECOS PAC ID | 7517876535 |
|---|---|
| Medicare Enrollment ID | O20151103001808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083164057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Primary |
| Provider Name | Colette Hm Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578799896 PECOS PAC ID: 5597804526 Enrollment ID: I20091203000446 |
| Provider Name | Stacey Anne Koehler-west |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922588532 PECOS PAC ID: 8426395641 Enrollment ID: I20190125002944 |
| Provider Name | Virginia Joanne Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760143697 PECOS PAC ID: 3678969086 Enrollment ID: I20220412002673 |
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