# PROVIDENCE HEALTH & SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Spokane Heart Institute-Coeur D'Alene
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689977159
- **Authorized official:** KAREN DUNCAN (SR DIRECTORY OF REVENUE CYCLE MNGMT)
- **Authorized official phone:** (425) 254-5362

## Contact information

- **Practice address:** 700 W IRONWOOD DR, SUITE 350, COEUR D ALENE, ID 83814-2656
- **Practice address phone:** (208) 676-9913
- **Practice address fax:** (208) 666-0885
- **Mailing address:** PO BOX 3776, SEATTLE, WA 98124-3776
- **Mailing address phone:** (425) 525-6715
- **Mailing address fax:** (425) 525-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/06/2010