Provider Demographics
NPI:1679522106
Name:INLAND CARDIOLOGY ASSOCIATES, P.S.
Entity Type:Organization
Organization Name:INLAND CARDIOLOGY ASSOCIATES, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-838-2960
Mailing Address - Street 1:122 WEST 7TH AVENUE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2332
Mailing Address - Country:US
Mailing Address - Phone:509-838-2960
Mailing Address - Fax:509-459-0424
Practice Address - Street 1:122 WEST 7TH AVENUE
Practice Address - Street 2:SUITE 450
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4332
Practice Address - Country:US
Practice Address - Phone:509-838-2960
Practice Address - Fax:509-459-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID00032652Medicaid
WA7005275Medicaid
OR0045323Medicaid
ID003265200Medicaid
ID1376255Medicare PIN
ID003265200Medicaid
OR105319Medicare PIN
ORR105319Medicare PIN