Providence Family Medicine

LBN: Providence Physician Services Co
Providence Family Medicine is an health care organization with primary practice located at 212 E Central Ave Ste 440 , Spokane WA 99208-6290. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Providence Physician Services Co can be contacted via phone (509) 487-9602, or through Walstrom, Kevin via phone (509) 482-2367.

Contact Information

Primary practice address
212 E Central Ave Ste 440 Spokane WA 99208-6290
Phone: (509) 487-9602
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walstrom, Kevin
Phone: (509) 482-2367

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1295041028
LBN Legal business name Providence Physician Services Co
DBA Doing business as Providence Family Medicine
Authorized official Walstrom, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2010
Last updated Aug 31st, 2010 - 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.

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