NPIMap

Organization Active NPI

David C. Wynecoop, Memorial Clinic

  • Nursing Facility/Intermediate Care Facility
  • Spokane, WA
National Provider Identifier
1114263225
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RN00147960 Issued in WA
Legal business name
DAVID C. WYNECOOP, MEMORIAL CLINIC
Practice address
928 E Illinois Ave
Spokane, WA 99207-2637
Phone
(509) 258-4517
Fax
(509) 258-6757
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Ms. Cindy Lou Delay, RN
Title
Clinical Nurse
Phone
(509) 258-4517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X RN00147960 WA Primary

Addresses

Primary practice location

928 E Illinois Ave
Spokane, WA 99207-2637

Mailing address

928 E Illinois Ave
Spokane, WA 99207-2637
Phone (509) 258-4517

Other names 1

  • wellpinit indian health clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
David C Wynecoop Memorial Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1114263225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 E ILLINOIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072637",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E ILLINOIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072637",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. WYNECOOP, MEMORIAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "DELAY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "CLINICAL NURSE",
        "authorized_official_telephone_number": "509-258-4517",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "RN00147960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wellpinit indian health clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.