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KORSGAARD MENTAL HEALTH INC NPI 1245507664


NPI Information

NPI: 1245507664
Provider Name: KORSGAARD MENTAL HEALTH, INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
140 S 140 ARTHUR ST
STE 415
SPOKANE, WA
ZIP 99202
Phone: (509) 389-5794
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KORSGAARD MENTAL HEALTH, INC is a psychiatric/mental health nurse practitioner in Spokane, WA. KORSGAARD MENTAL HEALTH, INC NPI is 1245507664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 S 140 ARTHUR ST
STE 415
SPOKANE, WA
ZIP 99202-220
Phone: (509) 389-5794
Fax: (509) 533-0627

The provider's authorized official is Christopher Patrick Korsgaard .
The authorized official title is Chairman Of The Board and has the following contact phone number (509) 389-5794.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP30007598WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8878600MEDICARE UPINWASHINGTON
220000528MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.