Provider Demographics
NPI:1740506641
Name:THE SALVATION ARMY SPOKANE CORP
Entity type:Organization
Organization Name:THE SALVATION ARMY SPOKANE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPOKANE CORP OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CAPTAIN KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-325-6810
Mailing Address - Street 1:222 E INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2318
Mailing Address - Country:US
Mailing Address - Phone:509-325-6810
Mailing Address - Fax:509-325-6828
Practice Address - Street 1:222 E INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2318
Practice Address - Country:US
Practice Address - Phone:509-325-6810
Practice Address - Fax:509-325-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management