Provider Demographics
NPI:1346202496
Name:SPOKANE HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:SPOKANE HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SETZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-456-0200
Mailing Address - Street 1:1309 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-4113
Mailing Address - Country:US
Mailing Address - Phone:509-456-0200
Mailing Address - Fax:509-624-5420
Practice Address - Street 1:1309 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4113
Practice Address - Country:US
Practice Address - Phone:509-456-0200
Practice Address - Fax:509-624-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID0206770001Medicare NSC
WA0206770001Medicare NSC