Provider Demographics
NPI:1578797791
Name:WOMEN'S HEALTH CONNECTION AMBULATORY SURGERY CENTER
Entity Type:Organization
Organization Name:WOMEN'S HEALTH CONNECTION AMBULATORY SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-465-8885
Mailing Address - Street 1:9425 N NEVADA ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-5014
Mailing Address - Country:US
Mailing Address - Phone:509-465-8885
Mailing Address - Fax:509-789-9013
Practice Address - Street 1:9425 N NEVADA ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-5014
Practice Address - Country:US
Practice Address - Phone:509-465-8885
Practice Address - Fax:509-789-9013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOMEN'S HEALTH CONNECTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602552714261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty