Healthcare Provider Details

I. General information

NPI: 1255253472
Provider Name (Legal Business Name): PRIME CARE DELEGATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 W GAIL JEAN LN
SPOKANE WA
99218-2652
US

IV. Provider business mailing address

1410 W GAIL JEAN LN
SPOKANE WA
99218-2652
US

V. Phone/Fax

Practice location:
  • Phone: 509-550-1100
  • Fax:
Mailing address:
  • Phone: 509-550-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KARANBIR HAYER
Title or Position: OWNER/RN
Credential: RN
Phone: 509-550-1100