Provider Demographics
NPI:1972568574
Name:INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DBA: INTERNAL MEDICINE SPO
Entity Type:Organization
Organization Name:INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DBA: INTERNAL MEDICINE SPO
Other - Org Name:INTERNAL MEDICINE SPOKANE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-744-3750
Mailing Address - Street 1:104 W 5TH AVE
Mailing Address - Street 2:SUITE 200W
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4880
Mailing Address - Country:US
Mailing Address - Phone:509-744-3750
Mailing Address - Fax:509-744-3969
Practice Address - Street 1:104 W 5TH AVE
Practice Address - Street 2:SUITE 200W
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4880
Practice Address - Country:US
Practice Address - Phone:509-744-3750
Practice Address - Fax:509-744-3969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty