Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(509) 464-4970
Entity
Organization
Contact information
Practice address
8502 N NEVADA ST, STE. 2, SPOKANE, WA 99208-7395
(509) 464-4970
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010000039
WA-COMMERCIAL NUMBER
—
01
—
013100P
WA-COMMERCIAL NUMBER
—
01
—
1018037
WA-COMMERCIAL NUMBER
—
01
—
113414024
WA-COMMERCIAL NUMBER
—
01
—
1173
WA-BLUE CROSS
—
01
—
132302
WA-COMMERCIAL NUMBER
—
01
—
14444
WA-COMMERCIAL NUMBER
—
01
—
2223178
WA-COMMERCIAL NUMBER
—
01
—
300066148
WA-COMMERCIAL NUMBER
—
01
—
321563001
WA-COMMERCIAL NUMBER
—
01
—
321563003
WA-COMMERCIAL NUMBER
—
01
—
507075
WA-COMMERCIAL NUMBER
—
01
—
565800
WA-COMMERCIAL NUMBER
—
05
—
806765300
—
ID
05
—
9041120
—
WA
05
—
9041559
—
WA
Enumeration date
06/30/2006
Last updated
12/19/2023
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