Healthcare Provider Details

I. General information

NPI: 1427346808
Provider Name (Legal Business Name): ROCKWOOD CLINIC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 N HOUK RD SUITE F
SPOKANE VALLEY WA
99216-1043
US

IV. Provider business mailing address

PO BOX 3649
SPOKANE WA
99220-3649
US

V. Phone/Fax

Practice location:
  • Phone: 509-755-5560
  • Fax: 509-755-5561
Mailing address:
  • Phone: 509-342-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBBIE T. BREWER
Title or Position: DIRECTOR
Credential:
Phone: 877-892-9813