Healthcare Provider Details

I. General information

NPI: 1467836056
Provider Name (Legal Business Name): HORIZON HEALTH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 W. CASCADE WAY
SPOKANE WA
99208
US

IV. Provider business mailing address

123 W CASCADE WAY
SPOKANE WA
99208
US

V. Phone/Fax

Practice location:
  • Phone: 509-489-4581
  • Fax: 509-434-1901
Mailing address:
  • Phone: 509-489-4581
  • Fax: 509-434-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number StateWA

VIII. Authorized Official

Name: TRACY A BATTERTON
Title or Position: PRESIDENT
Credential:
Phone: 509-489-4581