Healthcare Provider Details

I. General information

NPI: 1245987965
Provider Name (Legal Business Name): APEX SPINE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 05/07/2022
Certification Date: 05/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 GOETHALS DR
RICHLAND WA
99352-3527
US

IV. Provider business mailing address

821 SWIFT BLVD
RICHLAND WA
99352-3513
US

V. Phone/Fax

Practice location:
  • Phone: 509-606-5040
  • Fax:
Mailing address:
  • Phone: 509-606-5040
  • Fax: 509-946-7253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEX LINDE
Title or Position: CEO
Credential:
Phone: 509-606-5040