Organization Active NPI

Sacred Heart Medical Center

  • Clinical Medical Laboratory
  • Spokane, WA
National Provider Identifier
1821206244
Registry record updated Aug 7, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
H-162 Issued in WA
Legal business name
SACRED HEART MEDICAL CENTER
Practice address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone
(509) 474-3040
Fax
(509) 474-4925
NPI assigned
May 18, 2007
Organization subpart
Yes
Parent organization
SACRED HEART MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Miss Elaine Couture
Title
Chief Operating Officer
Phone
(509) 474-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X H-162 WA Primary

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204-2307

Mailing address

PO Box 3410
Spokane, WA 99220-3410
Phone (800) 752-8994

Other identifiers 1

IdentifierTypeStateIssuer
7026727MedicaidWA

National Provider Directory

National Provider Directory
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NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1821206244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3410",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203410",
            "telephone_number": "800-752-8994",
            "fax_number": "509-474-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-3040",
            "fax_number": "509-474-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED HEART MEDICAL CENTER",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "509-474-3040",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "H-162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7026727",
            "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 Aug 7, 2007; 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.