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PROVIDENCE PHYSICIAN SERVICES CO NPI 1578865887


NPI Information

NPI: 1578865887
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PROVIDENCE CENTER FOR CONGENITAL HEART DISEASE

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
101 W 8TH AVE
STE 4300
SPOKANE, WA
ZIP 99204
Phone: (509) 747-6707
Get Directions

PROVIDENCE PHYSICIAN SERVICES CO is a pediatric cardiology pediatrics in Spokane, WA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1578865887. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Center For Congenital Heart Disease.

The provider's business location address is:

101 W 8TH AVE
STE 4300
SPOKANE, WA
ZIP 99204-307
Phone: (509) 747-6707

The provider's authorized official is Anselmo Nunez .
The authorized official title is Chief Executive and has the following contact phone number (509) 474-6616.

The enumeration date for this NPI number is 11/19/2010 and was last updated on 2/18/2011.


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
12080P0202XPediatricsPediatric CardiologyYes

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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