NPIMap

Organization Active NPI

Physicians Clinic of Spokane PS

  • Multi-Specialty Clinic/Center
  • Spokane, WA
National Provider Identifier
1336186105
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
L0620049 Issued in WA
Legal business name
PHYSICIANS CLINIC OF SPOKANE PS
Practice address
820 S McClellan
#LL10
Spokane, WA 99204
Phone
(509) 353-3973
Fax
(509) 838-8275
NPI assigned
Jun 1, 2006
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Krik Rowbotham, MD
Title
Ceo
Phone
(509) 747-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X L0620049 WA Primary

Addresses

Primary practice location

820 S McClellan
#LL10
Spokane, WA 99204

Mailing address

820 S McClellan
#LL10
Spokane, WA 99204
Phone (509) 353-3973

Other identifiers 2

IdentifierTypeStateIssuer
00606OtherWAL & I
7202609MedicaidWA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

820 S McClellan St
Ste 100
Spokane, WA 99204
Phone (509) 353-3973

820 S McClellan St
Ste 302
Spokane, WA 99204
Phone (509) 353-3973

820 S McClellan St
Ste 421
Spokane, WA 99204
Phone (508) 353-3950

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1336186105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN",
            "address_2": "#LL10",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-353-3973",
            "fax_number": "509-838-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN",
            "address_2": "#LL10",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-353-3973",
            "fax_number": "509-838-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINIC OF SPOKANE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "ROWBOTHAM",
        "authorized_official_first_name": "KRIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-747-1144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "L0620049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "00606",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 1, 2011; 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.