Organization Active NPI

True Health NW PLLC

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1770171811
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRUE HEALTH NW PLLC
Practice address
501 S Bernard St
Spokane, WA 99204-2511
Phone
(208) 699-9626
NPI assigned
Jan 5, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Mr. Peter Glanville, PA-CNPI 1144622036
Title
Owner/Provider
Phone
(208) 699-9626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

501 S Bernard St
Spokane, WA 99204-2511

Mailing address

501 S Bernard St
Spokane, WA 99204-2511
Phone (208) 699-9626

Other identifiers 1

IdentifierTypeStateIssuer
2048297MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211201002263 WA Part B Supplier - Clinic/Group Practice 8022408285 Receives reassigned benefits from 2 practitioners
Practice locations: Deer Park, WA; Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2253534True Health NW PLLC501 S Bernard St Ste 212, Spokane, WA 99204Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

250 Northwest Blvd
Ste 211
Coeur D Alene, ID 83814
Phone (208) 930-1819

501 S Bernard St
Spokane, WA 99204
Phone (208) 699-9626

501 S Bernard St
Ste 205
Spokane, WA 99204
Phone (509) 838-5800

501 S Bernard St
Ste 212
Spokane, WA 99204
Phone (509) 838-5800

1419 N Argonne Rd
Spokane Valley, WA 99212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23645/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1770171811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042511",
            "telephone_number": "208-699-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042511",
            "telephone_number": "208-699-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE HEALTH NW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GLANVILLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-699-9626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048297",
            "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 Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.