Pmg E Wa

LBN: Providence Physician Services Co.
Pmg E Wa is an health care organization with primary practice located at 101 W 8Th Ave Mother Gamelin Center 3Rd Flr, Spokane WA 99204-2307. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Physician Services Co. can be contacted via phone (509) 474-2072, or through Harris, Dan via phone (206) 628-2550.

Contact Information

Primary practice address
101 W 8Th Ave Mother Gamelin Center 3Rd Flr Spokane WA 99204-2307
Phone: (509) 474-2072
Fax: (509) 474-6606
Website:
Map and Directions
Authorized official contact:
Name: Harris, Dan
Phone: (206) 628-2550

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1831146968
LBN Legal business name Providence Physician Services Co.
DBA Doing business as Pmg E Wa
Authorized official Harris, Dan
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Oct 23rd, 2014 - about 10 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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