Organization Active NPI

Pure Healthcare of Washington LLC

  • Multi-Specialty Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1093487464
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE HEALTHCARE OF WASHINGTON LLC
Practice address
16201 E Indiana Ave Ste 3100
Spokane Valley, WA 99216-2844
Phone
(509) 418-9880
Fax
(509) 267-3119
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Tandy
Title
Director
Phone
(801) 787-0731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

16201 E Indiana Ave Ste 3100
Spokane Valley, WA 99216-2844

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (855) 550-3358

Other practice location 1

105 S 1st St Ste 100
Yakima, WA 98901-2826
Phone (509) 508-4808

Other practice location 2

1818 S Union Ave Ste 2B
Tacoma, WA 98405-1953
Phone (253) 393-2700

Other practice location 3

522 W Riverside Ave Ste N
Spokane, WA 99201-0580
Phone (855) 550-3358

Other practice location 4

12515 Willows Rd NE Ste 500
Kirkland, WA 98034-8762
Phone (425) 468-6935

Other practice location 5

360 Lilly Rd NE Ste B
Olympia, WA 98506-5430
Phone (360) 436-6800

Other practice location 6

8308 E Mill Plain Blvd Ste 102
Vancouver, WA 98664-2066
Phone (360) 639-8720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220112000003 WA Part B Supplier - Clinic/Group Practice 6204228844 Receives reassigned benefits from 3 practitioners
Practice locations: Kirkland, WA; Olympia, WA; Spokane Valley, WA; Tacoma, WA; Vancouver, WA; Yakima, WA

National Provider Directory

National Provider Directory

Locations

12515 Willows Rd NE
Ste 500
Kirkland, WA 98034
Phone (425) 468-6935

16201 E Indiana Ave
Ste 3100
Spokane Valley, WA 99216
Phone (509) 418-9880

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1093487464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "855-550-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162844",
            "telephone_number": "509-418-9880",
            "fax_number": "509-267-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S 1st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989012826",
            "country_code": "US",
            "telephone_number": "509-508-4808",
            "fax_number": "509-355-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 S Union Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051953",
            "country_code": "US",
            "telephone_number": "253-393-2700",
            "fax_number": "253-369-0389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 W Riverside Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010580",
            "country_code": "US",
            "telephone_number": "855-550-3358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12515 Willows Rd NE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980348762",
            "country_code": "US",
            "telephone_number": "425-468-6935",
            "fax_number": "425-968-1989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Lilly Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065430",
            "country_code": "US",
            "telephone_number": "360-436-6800",
            "fax_number": "360-485-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8308 E Mill Plain Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986642066",
            "country_code": "US",
            "telephone_number": "360-639-8720",
            "fax_number": "360-326-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "TANDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-787-0731"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.