Northside Internal Medicine Associates Ps
LBN: Northside Internal Medicine Associates Ps
Northside Internal Medicine Associates Ps is an health care organization with primary practice located at 6120 N Mayfair , Spokane WA 99208. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Northside Internal Medicine Associates Ps can be contacted via phone (509) 489-7483, or through Gardner, Timothy J via phone (509) 489-7483.
Contact Information
Primary practice address
6120 N Mayfair
Spokane WA 99208
Phone: (509) 489-7483
Fax: (509) 489-4572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X |
Profile Details
| NPI number | 1114966769 |
|---|---|
| LBN Legal business name | Northside Internal Medicine Associates Ps |
| DBA Doing business as | |
| Authorized official | Gardner, Timothy J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 18th, 2009 - about 15 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 | 1114966769 | NPPES |
| Washington | MEDICAID | 7300015 |
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