Provider Demographics
NPI:1851395271
Name:INLAND MEDICAL & REHAB INC
Entity Type:Organization
Organization Name:INLAND MEDICAL & REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-455-9385
Mailing Address - Street 1:200 E 2ND AVE
Mailing Address - Street 2:STE B
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1507
Mailing Address - Country:US
Mailing Address - Phone:509-455-9385
Mailing Address - Fax:509-455-6831
Practice Address - Street 1:200 E 2ND AVE
Practice Address - Street 2:STE B
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1507
Practice Address - Country:US
Practice Address - Phone:509-455-9385
Practice Address - Fax:509-455-6831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601091918332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9021874Medicaid
WA0204310001Medicare ID - Type Unspecified