Organization Active NPI

CPF Colonial, LLC

Doing business as Colonial Clinic

  • Community/Behavioral Health Agency
  • Spokane, WA
National Provider Identifier
1184389223
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CPF COLONIAL, LLC
Doing business as
Colonial Clinic
Practice address
910 N Washington St Ste 210
Spokane, WA 99201-2260
Phone
(509) 327-9831
Fax
(509) 327-9857
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CPF OUTPATIENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Rebecca Stolz, CPA
Title
Financial Director
Phone
(509) 327-9831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

910 N Washington St Ste 210
Spokane, WA 99201-2260

Mailing address

910 N Washington St Ste 210
Spokane, WA 99201-2260
Phone (509) 327-9831

Other names 1

  • Colonial Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1184389223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N WASHINGTON ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012260",
            "telephone_number": "509-327-9831",
            "fax_number": "509-327-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N WASHINGTON ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012260",
            "telephone_number": "509-327-9831",
            "fax_number": "509-327-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPF COLONIAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CPF OUTPATIENT, LLC",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "STOLZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "509-327-9831",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 3, 2021; 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.