Healthcare Provider Details

I. General information

NPI: 1760475255
Provider Name (Legal Business Name): HOSPICE OF SPOKANE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 S ARTHUR ST
SPOKANE WA
99202-2253
US

IV. Provider business mailing address

121 S ARTHUR ST PO BOX 2215
SPOKANE WA
99202-2253
US

V. Phone/Fax

Practice location:
  • Phone: 509-456-0438
  • Fax: 509-458-0359
Mailing address:
  • Phone: 509-456-0438
  • Fax: 509-458-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberIHS FS 00000337
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberIS-337
License Number StateWA

VIII. Authorized Official

Name: MS. GINA DRUMMOND
Title or Position: CEO
Credential: RN, MSN
Phone: 509-456-0438