Healthcare Provider Details
I. General information
NPI: 1912395211
Provider Name (Legal Business Name): CONSISTENT CARE SERVICES SPC, PS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2015
Last Update Date: 04/16/2022
Certification Date: 04/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1235 N POST ST STE 201
SPOKANE WA
99201-2529
US
IV. Provider business mailing address
1235 N POST ST STE 201
SPOKANE WA
99201-2529
US
V. Phone/Fax
- Phone: 509-392-6965
- Fax: 360-525-2242
- Phone: 509-392-6965
- Fax: 509-371-1810
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
DARIN
NEVEN
Title or Position: CEO
Credential: MS, MD
Phone: 509-290-3173