Active NPI
Sacred Heart Medical Center
- Clinical Medical Laboratory
- Spokane, WA
National Provider Identifier
1821206244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- H-162
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7026727 | Medicaid | WA |
National Provider Directory
National Provider Directory- Part of
- Delete
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.