Organization
CCA OF SPOKANE, LLC
Active
Other names
Cardiovascular Services of Spokane
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM COMBS RT (DIRECTOR OF OPERATIONS)
(509) 232-0567
Entity
Organization
Contact information
Practice address
122 W 7TH AVE, STE 540, SPOKANE, WA 99204
(509) 232-0567
(509) 232-0571
Mailing address
122 W 7TH AVE, STE 540, SPOKANE, WA 99204-2349
(509) 232-0567
(509) 232-0571
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
FX00057836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7120652
—
WA
05
—
806709200
—
ID
01
—
P00077314
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
08/20/2009
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