Excelsior Wellness
LBN: Excelsior Wellness
Excelsior Wellness is an health care organization with primary practice located at 3754 W Indian Trail Rd , Spokane WA 99208-4736. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Excelsior Wellness can be contacted via phone (509) 328-7041, or through Hill, Andrew R via phone (509) 559-3100.
Contact Information
Primary practice address
3754 W Indian Trail Rd
Spokane WA 99208-4736
Phone: (509) 328-7041
Fax: (509) 328-7582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Public Health or Welfare | 251K00000X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1982995288 |
---|---|
LBN Legal business name | Excelsior Wellness |
DBA Doing business as | |
Authorized official | Hill, Andrew R MS, LMHC, CMHS, RRT |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 21st, 2011 |
Last updated | Sep 16th, 2022 - about 2 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 | 1982995288 | NPPES |
Washington | MEDICAID | 2015145 | |
Washington | MEDICAID | 1007885 |
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