Providence Medical Group Hawthorne

LBN: Providence Physician Service
Providence Medical Group Hawthorne is an health care organization with primary practice located at 551 E Hawthorne Rd , Spokane WA 99218-1417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Providence Physician Service can be contacted via phone (509) 252-1900, or through Lee, Katlyn via phone (509) 474-7159.

Contact Information

Primary practice address
551 E Hawthorne Rd Spokane WA 99218-1417
Phone: (509) 252-1900
Fax: (509) 465-4105
Website:
Map and Directions
Authorized official contact:
Name: Lee, Katlyn
Phone: (509) 474-7159

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1023394210
LBN Legal business name Providence Physician Service
DBA Doing business as Providence Medical Group Hawthorne
Authorized official Lee, Katlyn
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2011
Last updated Nov 1st, 2011 - 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.

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