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PROVIDENCE PHYSICIAN SERVICES CO NPI 1902123664


NPI Information

NPI: 1902123664
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PPS PSHMC PEDIATRIC NEPHROLOGY

Classification: Pediatrics - 2080P0210X
Entity Type: Organization

Specialization: Pediatric Nephrology

Address:
101 W 8TH
STE 100 L-1
SPOKANE, WA
ZIP 99204
Phone: (509) 474-5445
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PROVIDENCE PHYSICIAN SERVICES CO is a pediatric nephrology pediatrics in Spokane, WA. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1902123664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Pshmc Pediatric Nephrology.

The provider's business location address is:

101 W 8TH
STE 100 L-1
SPOKANE, WA
ZIP 99204
Phone: (509) 474-5445

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 4/21/2010 and was last updated on 2/28/2011.


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
12080P0210XPediatricsPediatric NephrologyYes

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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