PROVIDENCE PHYSICIAN SERVICES CO. NPI 1831146968

NPI Information

NPI: 1831146968
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO.

Doing Business As: PMG E WA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
101 W 8TH AVE
MOTHER GAMELIN CENTER 3RD FLR
SPOKANE, WA
ZIP 99204
Phone: (509) 474-2072
Get Directions

PROVIDENCE PHYSICIAN SERVICES CO. is a family medicine in Spokane, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE PHYSICIAN SERVICES CO. NPI is 1831146968. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pmg E Wa.

The provider's business location address is:

101 W 8TH AVE
MOTHER GAMELIN CENTER 3RD FLR
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-2072
Fax: (509) 474-6606

The provider's authorized official is Dan Harris .
The authorized official title is Cfo and has the following contact phone number (206) 628-2550.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/23/2014.

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 State	Primary
1	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics		No
2	2080P0205X	Pediatrics	Pediatric Endocrinology		No
3	2086S0120X	Surgery	Pediatric Surgery		No
4	2080P0206X	Pediatrics	Pediatric Gastroenterology		No
5	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology		No
6	208600000X	Surgery			No
7	207RP1001X	Internal Medicine	Pulmonary Disease		No
8	208000000X	Pediatrics			No
9	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine		No
10	2084N0400X	Psychiatry & Neurology	Neurology		No
11	103T00000X	Psychologist			No
12	2084P0800X	Psychiatry & Neurology	Psychiatry		No
13	207RN0300X	Internal Medicine	Nephrology		No
14	2086S0122X	Surgery	Plastic and Reconstructive Surgery		No
15	207Q00000X	Family Medicine		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	AB32999	MEDICARE PIN

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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