Provider Demographics
NPI:1871820118
Name:UNION GOSPEL MISSION
Entity Type:Organization
Organization Name:UNION GOSPEL MISSION
Other - Org Name:HELPING HANDS CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-535-8510
Mailing Address - Street 1:2828 WEST MALLON AVE.
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-327-7737
Mailing Address - Fax:
Practice Address - Street 1:2828 W MALLON AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1553
Practice Address - Country:US
Practice Address - Phone:509-327-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA50D1044434251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable