Provider Demographics
NPI:1083668008
Name:SPOKANE CRITICAL CARE ASSOCIATES, PS
Entity Type:Organization
Organization Name:SPOKANE CRITICAL CARE ASSOCIATES, PS
Other - Org Name:SPOKANE RESPIRATORY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-353-3960
Mailing Address - Street 1:12615 E MISSION AVE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1047
Mailing Address - Country:US
Mailing Address - Phone:509-353-3960
Mailing Address - Fax:509-343-0134
Practice Address - Street 1:12615 E MISSION AVE
Practice Address - Street 2:SUITE #200
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216
Practice Address - Country:US
Practice Address - Phone:509-353-3960
Practice Address - Fax:509-343-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602 580 709174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty