Organization Active NPI

Vaccines 2U

  • Health Service Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1962884239
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PHHC.FX.60543314 Issued in WA
Legal business name
VACCINES 2U
Practice address
12418 E Saltese Ave
Spokane Valley, WA 99216-0357
Phone
(509) 475-1347
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Jill Harvey, PHARMD
Title
Owner
Phone
(509) 475-1347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PHHC.FX.60543314 WA Primary

Addresses

Primary practice location

12418 E Saltese Ave
Spokane Valley, WA 99216-0357

Mailing address

12418 E Saltese Ave
Spokane Valley, WA 99216-0357
Phone (509) 475-1347

Other identifiers 1

IdentifierTypeStateIssuer
1184614893MedicaidWA

National Provider Directory

National Provider Directory

Locations

12418 E Saltese Ave
Spokane Valley, WA 99216
Phone (509) 475-1347

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1962884239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12418 E SALTESE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160357",
            "telephone_number": "509-475-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12418 E SALTESE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160357",
            "telephone_number": "509-475-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINES 2U",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-475-1347",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "PHHC.FX.60543314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184614893",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.