# NORTH CENTRAL CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Central Care and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962496745
- **Authorized official:** DEAN MYERS (VP OF CLINICAL SERVICES)
- **Authorized official phone:** (509) 328-6030

## Contact information

- **Practice address:** 1812 N WALL STREET, SPOKANE, WA 99205-4606
- **Practice address phone:** (509) 328-6030
- **Practice address fax:** (509) 327-7026
- **Mailing address:** 1812 N WALL STREET, SPOKANE, WA 99205-4606
- **Mailing address phone:** (509) 328-6030
- **Mailing address fax:** (509) 327-7026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1144 | WA | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 02/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4111449 | — | WA |
