Provider Demographics
NPI:1831763812
Name:ALL HEART INFUSION
Entity type:Organization
Organization Name:ALL HEART INFUSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WEDLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNI
Authorized Official - Phone:509-309-2230
Mailing Address - Street 1:601 S DIVISION ST STE B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1335
Mailing Address - Country:US
Mailing Address - Phone:509-309-2230
Mailing Address - Fax:509-309-2739
Practice Address - Street 1:601 S DIVISION ST STE B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1335
Practice Address - Country:US
Practice Address - Phone:509-309-2230
Practice Address - Fax:509-309-2739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care