Provider Demographics
NPI:1467433474
Name:S & S HEALTH CARE, INC
Entity Type:Organization
Organization Name:S & S HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CORP OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-533-0005
Mailing Address - Street 1:11319 E CARLISLE AVE SUITE 104
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206
Mailing Address - Country:US
Mailing Address - Phone:509-533-0005
Mailing Address - Fax:509-533-1423
Practice Address - Street 1:11319 E CARLISLE AVE SUITE 104
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206
Practice Address - Country:US
Practice Address - Phone:509-533-0005
Practice Address - Fax:509-533-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-431251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9038720Medicaid
WA9055534Medicaid