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) 473-4900
Entity
Organization
Contact information
Practice address
12310 E MIRABEAU PKWY STE 500, SPOKANE VALLEY, WA 99216-2259
(509) 473-4900
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
05
—
1205183878
—
ID
05
—
1265789820
—
WA
Enumeration date
08/13/2012
Last updated
05/14/2024
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