| Sacred Heart Medical Center | |
|
101 W 8th Ave Spokane WA 99204-2307 | |
| (509) 474-3203 | |
| Not Available |
| Full Name | Sacred Heart Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 101 W 8th Ave, Spokane, Washington |
| Authorized Official Name and Position | Ryland P Davis (CEO) |
| Authorized Official Contact | 5094743040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Medical Center Po Box 2555 Spokane WA 99220-2555 Ph: () - | Sacred Heart Medical Center 101 W 8th Ave Spokane WA 99204-2307 Ph: (509) 474-3203 |
| NPI Number | 1528163763 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528163763 | NPI | - | NPPES |
| K0289 | Other | ID | SPHCO BCI |
| 3500022 | Medicaid | WA | |
| SA1390 | Other | WA | ASURIS OUTP |
| 02986 | Other | WA | L&I |
| 15 | Other | WA | BC/BS/PREMERA |
| 20 | Other | WA | GROUP HEALTH |
| G00611 | Other | ID | REG BLSH OF ID |
| SA1389 | Other | WA | ASURIS INPT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H-162 (Washington) | Primary |
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