Active NPI
Rockwood Clinic PS
- Ambulatory Surgical Clinic/Center
- Spokane, WA
National Provider Identifier
1487640058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ROCKWOOD CLINIC PS
- Practice address
- 105 W 8TH Ave
Suite 7010
Spokane, WA 99204-2302 - Phone
- (509) 838-2531
- Fax
- (509) 455-5315
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- J Carl Bruesch
- Title
- Cfo
- Phone
- (509) 838-2531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
105 W 8TH Ave
Suite 7010
Spokane, WA 99204-2302
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7058753 | Medicaid | WA |
Other names 1
- Rockwood Clinic Ambulatory Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1487640058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649",
"telephone_number": "509-838-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE",
"address_2": "SUITE 7010",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042302",
"telephone_number": "509-838-2531",
"fax_number": "509-455-5315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKWOOD CLINIC PS",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "BRUESCH",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "509-838-2531"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7058753",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rockwood Clinic Ambulatory Surgery Center",
"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 Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.