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PROVIDENCE HEALTH & SERVICES NPI 1639482409


NPI Information

NPI: 1639482409
Provider Name: PROVIDENCE HEALTH & SERVICES

Doing Business As: PROVIDENCE SPOKANE HEART INSTITUTE-MOSCOW FAMILY MEDICAL

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
623 S MAIN ST
MOSCOW, ID
ZIP 83843
Phone: (208) 882-2011
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PROVIDENCE HEALTH & SERVICES is a cardiovascular disease internal medicine in Moscow, ID. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROVIDENCE HEALTH & SERVICES NPI is 1639482409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Spokane Heart Institute-moscow Family Medical.

The provider's business location address is:

623 S MAIN ST
MOSCOW, ID
ZIP 83843-983
Phone: (208) 882-2011

The provider's authorized official is Karen Duncan .
The authorized official title is Sr. Director Of Revenue Cycle Mgt. and has the following contact phone number (425) 254-5362.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 11/8/2010.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 11/14/2023

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