Healthcare Provider Details

I. General information

NPI: 1881177681
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF WASHINGTON, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2018
Last Update Date: 09/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9222 N NEWPORT HWY STE 1
SPOKANE WA
99218-1235
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 509-467-4545
  • Fax: 509-467-2304
Mailing address:
  • Phone: 972-364-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN R ANDERSON
Title or Position: VICE PRESIDENT
Credential: DO
Phone: 972-364-8000