Provider Demographics
NPI:1780741439
Name:SYNERGY HEALTHCARE INC.
Entity type:Organization
Organization Name:SYNERGY HEALTHCARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-413-1630
Mailing Address - Street 1:12012 E MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4887
Mailing Address - Country:US
Mailing Address - Phone:509-444-8383
Mailing Address - Fax:509-413-1673
Practice Address - Street 1:12012 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4887
Practice Address - Country:US
Practice Address - Phone:509-444-8383
Practice Address - Fax:509-413-1673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9058546Medicaid
WA7116031Medicaid
WA7682461Medicaid
WA5671050001Medicare NSC
WADN8945Medicare PIN
WAP49249Medicare UPIN
WA9058546Medicaid