1902918477 NPI number — EHS PULMONARY AND CRITICAL CARE LLC

Table of content: (NPI 1902918477)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902918477 NPI number — EHS PULMONARY AND CRITICAL CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EHS PULMONARY AND CRITICAL CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902918477
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
910 W 5TH AVE
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99204-2967
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-625-1915
Provider Business Mailing Address Fax Number:
509-625-1919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
910 W 5TH AVE
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2967
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-625-1915
Provider Business Practice Location Address Fax Number:
509-625-1919
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COLBY
Authorized Official First Name:
LANCE
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
DIRECTOR, EHS PRACTICE ADMIN.
Authorized Official Telephone Number:
509-473-7977

Provider Taxonomy Codes

  • Taxonomy code: 207RC0200X , with the licence number:  MD00018532 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , with the licence number: MD00047235 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: MD00027787 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: MD00047235 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: MD00027787 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: MD00047235 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , with the licence number: MD00027787 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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