NATIVE PROJECT PHARMACY NPI 1487105482

NPI Information

NPI: 1487105482
Provider Name: NATIVE PROJECT PHARMACY
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 50D0968048

Address:
1803 W MAXWELL AVE
SPOKANE, WA
ZIP 99201
Phone: (509) 325-5502
Get Directions

NATIVE PROJECT PHARMACY is a federally qualified health center (fqhc) clinic center in Spokane, WA. NATIVE PROJECT PHARMACY NPI is 1487105482. The provider is registered as an organization entity type.

The provider's business location address is:

1803 W MAXWELL AVE
SPOKANE, WA
ZIP 99201-831
Phone: (509) 325-5502

The provider's authorized official is Toni Lodge .
The authorized official title is Ceo and has the following contact phone number (509) 325-5502.

The CLIA number assigned to this NPI record is 50D0968048 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy		601182805	WASHINGTON	No
2	3336C0002X	Pharmacy	Clinic Pharmacy	601182805	WASHINGTON	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	601182805	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2039882	MEDICAID	WASHINGTON
2	GAB29416	MEDICARE UPIN
3	501895	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

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