# ROCKWOOD CLINIC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockwood Clinic Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487640058
- **Authorized official:** J CARL BRUESCH (CFO)
- **Authorized official phone:** (509) 838-2531

## Contact information

- **Practice address:** 105 W 8TH AVE, SUITE 7010, SPOKANE, WA 99204-2302
- **Practice address phone:** (509) 838-2531
- **Practice address fax:** (509) 455-5315
- **Mailing address:** PO BOX 3649, SPOKANE, WA 99220-3649
- **Mailing address phone:** (509) 838-2531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 12/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7058753 | — | WA |