Centennial Pediatrics Of Spokane, Pllc
LBN: Centennial Pediatrics Of Spokane, Pllc
Centennial Pediatrics Of Spokane, Pllc is an health care organization with primary practice located at 3010 S Southeast Blvd Ste A , Spokane WA 99223-3540. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Centennial Pediatrics Of Spokane, Pllc can be contacted via phone (509) 352-3777, or through Kalisvaart, Jennifer via phone (562) 277-0834.
Contact Information
Primary practice address
3010 S Southeast Blvd Ste A
Spokane WA 99223-3540
Phone: (509) 352-3777
Fax: (509) 343-3717
Website:
Authorized official contact:
Name: Kalisvaart, Jennifer Doctor of Medicine (MD)
Phone: (562) 277-0834
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1346964806 |
|---|---|
| LBN Legal business name | Centennial Pediatrics Of Spokane, Pllc |
| DBA Doing business as | |
| Authorized official | Kalisvaart, Jennifer Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2022 |
| Last updated | Jul 21st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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