Provider Demographics
NPI:1144495409
Name:WHITWORTH UNIVERSITY HEALTH CENTER
Entity type:Organization
Organization Name:WHITWORTH UNIVERSITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECFTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN M ED
Authorized Official - Phone:509-777-4449
Mailing Address - Street 1:300 W HAWTHORNE RD
Mailing Address - Street 2:HENDRICK HALL
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99251-2515
Mailing Address - Country:US
Mailing Address - Phone:509-777-4449
Mailing Address - Fax:509-777-3763
Practice Address - Street 1:300 W HAWTHORNE RD
Practice Address - Street 2:HENDRICK HALL
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99251-2515
Practice Address - Country:US
Practice Address - Phone:509-777-4449
Practice Address - Fax:509-777-3763
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITWORTH UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-28
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center