Healthcare Provider Details

I. General information

NPI: 1598046260
Provider Name (Legal Business Name): ARGONNE MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 N MULLAN RD SUITE A
SPOKANE VALLEY WA
99206-4094
US

IV. Provider business mailing address

826 N MULLAN RD SUITE A
SPOKANE VALLEY WA
99206-4094
US

V. Phone/Fax

Practice location:
  • Phone: 509-927-2227
  • Fax: 509-928-8592
Mailing address:
  • Phone: 509-927-2227
  • Fax: 509-928-8592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP30000070
License Number StateWA

VIII. Authorized Official

Name: DR. JOHN P GOLDFELDT
Title or Position: OWNER
Credential: D.C.
Phone: 509-927-2777