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EXCELSIOR INTEGRATED CARE CENTER LLC NPI 1326672692


NPI Information

NPI: 1326672692
Provider Name: EXCELSIOR INTEGRATED CARE CENTER LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 50D2243217

Address:
3910 W. INDIAN TRAIL RD
SPOKANE, WA
ZIP 99208
Phone: (509) 559-3100
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EXCELSIOR INTEGRATED CARE CENTER LLC is a community behavioral health in Spokane, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EXCELSIOR INTEGRATED CARE CENTER LLC NPI is 1326672692. The provider is registered as an organization entity type.

The provider's business location address is:

3910 W. INDIAN TRAIL RD
SPOKANE, WA
ZIP 99208-739
Phone: (509) 559-3100
Fax: (509) 328-7582

The provider's authorized official is Dovie Britton .
The authorized official title is Contracting And Credentialing Coord and has the following contact phone number (509) 559-3132.

The CLIA number assigned to this NPI record is 50D2243217 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 10/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2323P00000XPsychiatric Residential Treatment FacilityNo
3251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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