Provider Demographics
NPI:1457417263
Name:EHS WOMENS AND CHILDRENS SERVICES LLC
Entity Type:Organization
Organization Name:EHS WOMENS AND CHILDRENS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR-EHS PRACTICE ADMIN.
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:D
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-473-3643
Mailing Address - Street 1:PO BOX 2255
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99210-2255
Mailing Address - Country:US
Mailing Address - Phone:509-473-7932
Mailing Address - Fax:509-473-3057
Practice Address - Street 1:800 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2803
Practice Address - Country:US
Practice Address - Phone:509-473-7932
Practice Address - Fax:509-473-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046878207VM0101X
WAMD000195752080P0201X, 2080P0214X
WAAP30006356363LF0000X
WAAP30006949367A00000X
WAAP30004127367A00000X
WAAP30003483367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Multi-Specialty
Not Answered2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/ImmunologyGroup - Multi-Specialty
Not Answered2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Multi-Specialty
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAQ55628Medicare UPIN
WAQ62693Medicare UPIN
WAQ62691Medicare UPIN
WAB18124Medicare UPIN
WAC21802Medicare UPIN
WAQ62928Medicare UPIN