Organization · Type 2 NPI

David C. Wynecoop, Memorial Clinic

Nursing Facility/Intermediate Care Facility · Spokane, WA

NPI number 1114263225 Active

Practice location

928 E Illinois Ave
Spokane, WA 99207-2637

Fax (509) 258-6757

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XRN00147960 (WA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

About NPI 1114263225

David C. Wynecoop, Memorial Clinic's National Provider Identifier is 1114263225, issued on Dec 17, 2012. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Spokane, WA. The record was last updated on Dec 17, 2012.