Healthcare Provider Details
I. General information
NPI: 1396370771
Provider Name (Legal Business Name): HIP OF SPOKANE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2020
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 N DIVISION ST STE 130
SPOKANE WA
99207-2280
US
IV. Provider business mailing address
PO BOX 48150
SPOKANE WA
99228-1150
US
V. Phone/Fax
- Phone: 509-598-9035
- Fax:
- Phone: 509-960-7457
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
JOHN
SIGLER
Title or Position: DIRECTOR OF BHS
Credential: LICSW
Phone: 509-951-0233