# DAVID C. WYNECOOP, MEMORIAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** wellpinit indian health clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114263225
- **Authorized official:** MS. CINDY LOU DELAY RN (CLINICAL NURSE)
- **Authorized official phone:** (509) 258-4517

## Contact information

- **Practice address:** 928 E ILLINOIS AVE, SPOKANE, WA 99207-2637
- **Practice address phone:** (509) 258-4517
- **Practice address fax:** (509) 258-6757
- **Mailing address:** 928 E ILLINOIS AVE, SPOKANE, WA 99207-2637
- **Mailing address phone:** (509) 258-4517
- **Mailing address fax:** (509) 258-6757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | RN00147960 | WA | Yes |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 12/17/2012