| Providence Physician Services Co | |
| 101 W 8th Ave Ste 100 L-1 Spokane WA 99204-2307 | |
| (509) 474-5445 | |
| Not Available | 
| Full Name | Providence Physician Services Co | 
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine | 
| Location | 101 W 8th Ave, Spokane, Washington | 
| Authorized Official Name and Position | Anselmo Nunez (CHIEF EXECUTIVE) | 
| Authorized Official Contact | 5094746616 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Providence Physician Services Co 101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: () - | Providence Physician Services Co 101 W 8th Ave Ste 100 L-1 Spokane WA 99204-2307 Ph: (509) 474-5445 | 
| NPI Number | 1649597303 | 
|---|---|
| Provider Enumeration Date | 04/21/2010 | 
| Last Update Date | 02/18/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649597303 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary | 
| Circ Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Howard St, Suite R, Spokane, WA 99201 Phone: 206-672-1697 | |
| Community Health Association Of Spokane Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 Fax: 509-444-7806 | |
| Providence Physician Services Co. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 8th Ave, Suite 7040, Spokane, WA 99204 Phone: 509-456-2406 Fax: 509-456-2407 | |
| Providence Physician Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 E Hawthorne Rd, Spokane, WA 99218 Phone: 509-252-1900 Fax: 509-465-4105 | |
| Kaiser Foundation Health Plan Of Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 546 N Jefferson Ln Ste 200, Spokane, WA 99201 Phone: 509-625-3700 | |
| Swiggum Internal Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2903 E 25th Ave, Spokane, WA 99223 Phone: 509-536-6700 Fax: 509-536-6856 | |
| Emergency Responders Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rock Pointe Iii; Suite 1080, 1330 N. Washington Street, Spokane, WA 99201 Phone: 208-229-3742 Fax: 208-229-8450 |