| Spokane Regional Health District | |
|
1101 W College Ave Spokane WA 99201-2029 | |
| (509) 324-1660 | |
| (509) 324-3609 |
| Full Name | Spokane Regional Health District |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 1101 W College Ave, Spokane, Washington |
| Authorized Official Name and Position | Paula Maxwell (PROGRAM MANAGER) |
| Authorized Official Contact | 5093241660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Regional Health District 1101 W College Ave Spokane WA 99201-2029 Ph: (509) 324-1660 | Spokane Regional Health District 1101 W College Ave Spokane WA 99201-2029 Ph: (509) 324-1660 |
| NPI Number | 1811954373 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 1456249507 |
|---|---|
| Medicare Enrollment ID | O20200427001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811954373 | NPI | - | NPPES |
| 1991173 | Medicaid | WA | |
| 600001762 | Other | MEDICARE RAILROAD | |
| 0117197 | Other | WA | LABOR & INDUSTRIES |
| 101962700 | Medicaid | WA | |
| 7043045 | Medicaid | WA | |
| 7138670 | Medicaid | WA | |
| G000312380 | Other | WA | MEDICARE GROUP PIN |
| 00031369 | Medicaid | WA | |
| 7403405 | Medicaid | WA | |
| 7403546 | Medicaid | WA |
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