<Unavail>
LBN: Abstemious Outpatient Clinic, Inc
<Unavail> is an health care organization with primary practice located at 10525 E Main Ave , Spokane Valley WA 99206-3728. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Abstemious Outpatient Clinic, Inc can be contacted via phone (509) 927-7814, or through Phelps, Ronald J via phone (509) 927-7814.
Contact Information
Primary practice address
10525 E Main Ave
Spokane Valley WA 99206-3728
Phone: (509) 927-7814
Fax: (509) 927-4669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 32051201 | Washington |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | CP0001358 | Washington |
Profile Details
| NPI number | 1740328145 |
|---|---|
| LBN Legal business name | Abstemious Outpatient Clinic, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Phelps, Ronald J B.A., C.D.P. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Oct 23rd, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740328145 | NPPES |
| Washington | Other | 32051200 | DSHS |
| Washington | Other | 32051200 | DSHS |
| Washington | Other | 32051201 | DSHS |
| Washington | Other | 32051200/32051201 | DSHS |
| Washington | Other | 32051201 | DSHS |
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