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CANCER CARE NORTHWEST CENTERS P S NPI 1922072081


NPI Information

NPI: 1922072081
Provider Name: CANCER CARE NORTHWEST CENTERS P S

Doing Business As: CANCER CARE NORTHWEST

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 50D1001319

Address:
1204 N VERCLER RD
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 228-1000
Get Directions

CANCER CARE NORTHWEST CENTERS P S is a hematology and oncology internal medicine in Spokane Valley, WA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CANCER CARE NORTHWEST CENTERS P S NPI is 1922072081. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cancer Care Northwest.

The provider's business location address is:

1204 N VERCLER RD
SPOKANE VALLEY, WA
ZIP 99216-020
Phone: (509) 228-1000

The provider's authorized official is Rod Emerson .
The authorized official title is Ceo and has the following contact phone number (509) 228-1000.

The CLIA number assigned to this NPI record is 50D1001319 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 6/2/2023.


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 Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207RX0202XInternal MedicineMedical OncologyNo
32085R0001XRadiologyRadiation OncologyNo
42086X0206XSurgerySurgical OncologyNo
5332900000XNon-Pharmacy Dispensing SiteNo
6363A00000XPhysician AssistantNo
7363LF0000XNurse PractitionerFamilyNo
8207RH0003XInternal MedicineHematology & OncologyYes

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
126412OTHERWASHINGTONLABOR & INDUSTRIES
2757523001OTHERWASHINGTONDME
37115108MEDICAIDWASHINGTON

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: 5/5/2024

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.