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Organization

SPOKANE REGIONAL HEALTH DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA MAXWELL (PROGRAM MANAGER)
(509) 324-1660
Entity
Organization

Contact information

Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2029
(509) 324-1660
(509) 324-3609
Mailing address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2029
(509) 324-1660
(509) 324-3609

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM2800X
Methadone Clinic
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
291U00000X
Clinical Medical Laboratory
50D0672084
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00031369
WA
01
0117197
LABOR & INDUSTRIES
WA
05
101962700
WA
05
1991173
WA
01
600001762
MEDICARE RAILROAD
05
7043045
WA
05
7138670
WA
05
7403405
WA
05
7403546
WA
01
G000312380
MEDICARE GROUP PIN
WA
Enumeration date
04/27/2006
Last updated
12/19/2023
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