# BAVIHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Range Community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750916953
- **Authorized official:** MELISSA BOCARDO (PRACTICE MANAGER)
- **Authorized official phone:** (509) 505-7481

## Contact information

- **Practice address:** 310 N RIVERPOINT BLVD, SPOKANE, WA 99202-1610
- **Practice address phone:** (509) 505-7481
- **Mailing address:** 412 E SPOKANE FALLS BLVD, SPOKANE, WA 99202-2131
- **Mailing address phone:** (509) 505-7481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |

## Other

- **Enumeration date:** 03/08/2020
- **Last updated:** 07/12/2024