Provider Demographics
NPI:1477861466
Name:OPTION ONE HEALTHCARE INC.
Entity Type:Organization
Organization Name:OPTION ONE HEALTHCARE INC.
Other - Org Name:OPTION ONE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-678-4661
Mailing Address - Street 1:7520 N MARKET ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-5093
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:108 N WASHINGTON ST
Practice Address - Street 2:SUITE 402
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-5003
Practice Address - Country:US
Practice Address - Phone:509-710-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603049170332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment