| Spokane Tribe Of Indians | |
|
6228 E. School Road Wellpinit WA 99040 | |
| (509) 258-7502 | |
| (509) 258-7502 |
| Full Name | Spokane Tribe Of Indians |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6228 E. School Road, Wellpinit, Washington |
| Authorized Official Name and Position | Richard L. Sherwood (CHAIRMAN) |
| Authorized Official Contact | 5092587502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Tribe Of Indians 6228 E. School Road Wellpinit WA 99040-0100 Ph: (509) 258-7502 | Spokane Tribe Of Indians 6228 E. School Road Wellpinit WA 99040 Ph: (509) 258-7502 |
| NPI Number | 1467644294 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467644294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1992841 (Washington) | Secondary |
| 251S00000X | Community/behavioral Health | 1980770 (Washington) | Primary |