Healthcare Provider Details

I. General information

NPI: 1215225685
Provider Name (Legal Business Name): ROCKWOOD CLINIC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 N COUNTRY HOMES BLVD
SPOKANE WA
99218-2072
US

IV. Provider business mailing address

PO BOX 3649
SPOKANE WA
99220-3649
US

V. Phone/Fax

Practice location:
  • Phone: 509-755-5334
  • Fax: 509-755-5376
Mailing address:
  • Phone: 509-342-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. SOPHIA L ARWOOD
Title or Position: DIRECTOR
Credential:
Phone: 615-628-6038