Colonial Clinic
LBN: Colonial Clinic Ii, Llc
Colonial Clinic is an health care organization with primary practice located at 910 N Washington St Suite 210, Spokane WA 99201-2202. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty.
Colonial Clinic Ii, Llc can be contacted via phone (509) 327-9831, or through Colyar, Daniel J. via phone (509) 327-9831.
Contact Information
Primary practice address
910 N Washington St Suite 210
Spokane WA 99201-2202
Phone: (509) 327-9831
Fax: (509) 327-9857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1962493007 |
|---|---|
| LBN Legal business name | Colonial Clinic Ii, Llc |
| DBA Doing business as | Colonial Clinic |
| Authorized official | Colyar, Daniel J. MA,CDP,NCACII,SAP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Mar 15th, 2012 - about 12 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962493007 | NPPES |
| Washington | Other | 32025500 | CHEMICAL DEPENDENCY TREAT |
| Washington | Other | J0HY6W00 | CHEMICAL DEPENDENCY TREAT |
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