SPOKANE DIGESTIVE DISEASE CENTER P.S. NPI 1588719561

NPI Information

NPI: 1588719561
Provider Name: SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
105 W 8TH AVE
SUITE 6010
SPOKANE, WA
ZIP 99204
Phone: (509) 838-5950
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SPOKANE DIGESTIVE DISEASE CENTER, P.S. is an ambulatory surgical clinic center in Spokane, WA. SPOKANE DIGESTIVE DISEASE CENTER, P.S. NPI is 1588719561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 W 8TH AVE
SUITE 6010
SPOKANE, WA
ZIP 99204-341
Phone: (509) 838-5950
Fax: (509) 838-5961

The provider's authorized official is Gayle L Miller .
The authorized official title is Office Manager and has the following contact phone number (509) 838-5950.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/4/2013.

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	207RG0100X	Internal Medicine	Gastroenterology	BS5586752	WASHINGTON	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	FX00056575	WASHINGTON	No
3	261QA1903X	Clinic/Center	Ambulatory Surgical	FX00055904	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	Other Provider Identifier Issuer
1	G000357800	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	GROUP ID NUMBER
2	G319000004	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	AMBULATORY SURGERY CTR ID
3	7056872	MEDICAID	WASHINGTON
4	7122708	MEDICAID	WASHINGTON

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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