Provider Demographics
NPI:1114230042
Name:PROVIDENCE HEALTH & SERVICES
Entity Type:Organization
Organization Name:PROVIDENCE HEALTH & SERVICES
Other - Org Name:PROVIDENCE SPOKANE HEART INSTITUTE-SPOKANE NORTH OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR OF REVENUE CYCLE MGT.
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-254-5362
Mailing Address - Street 1:PO BOX 3776
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3776
Mailing Address - Country:US
Mailing Address - Phone:425-525-6798
Mailing Address - Fax:
Practice Address - Street 1:318 E ROWAN AVE
Practice Address - Street 2:240
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1200
Practice Address - Country:US
Practice Address - Phone:509-482-2025
Practice Address - Fax:509-482-2915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty