Spokane Psychiatric Clinic Ps

LBN: Spokane Psychiatric Clinic Ps

Spokane Psychiatric Clinic Ps is an health care organization with primary practice located at 105 W 8Th Ave 6055, Spokane WA 99204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Spokane Psychiatric Clinic Ps can be contacted via phone (509) 455-9090, or through Rockstrom, Jerene G via phone (509) 455-9090.

Contact Information

Primary practice address

105 W 8Th Ave 6055 Spokane WA 99204

Phone: (509) 455-9090

Fax: (509) 747-2118

Website:

Map and Directions

Authorized official contact:

Name: Rockstrom, Jerene G

Phone: (509) 455-9090

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	MD00017775	Washington
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	MD00019775	Washington
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	MD00018006	Washington
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	MD00021497	Washington
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	MD00015837	Washington

Profile Details

NPI number	1235293473
LBN Legal business name	Spokane Psychiatric Clinic Ps
DBA Doing business as
Authorized official	Rockstrom, Jerene G
Entity	Organization
Organization subpart ¹	No
Enumeration date	Dec 21st, 2006
Last updated	Aug 22nd, 2020 - about 6 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1235293473	NPPES
Washington	MEDICAID	1077791
Washington	MEDICAID	1077817
Washington	Other	0034874
Washington	MEDICAID	1077775
Washington	MEDICAID	1080191
Washington	MEDICAID	1077783

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