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David C. Wynecoop, Memorial Clinic
Nursing Facility/Intermediate Care Facility in Spokane, Washington
NPI 1114263225

David C. Wynecoop, Memorial Clinic is a Nursing Facility/Intermediate Care Facility based in Spokane, WA. David C. Wynecoop, Memorial Clinic practices in Spokane, WA. The NPI Number for David C. Wynecoop, Memorial Clinic is 1114263225 and holds a License No. RN00147960 (Washington).

The current practice location address for David C. Wynecoop, Memorial Clinic is 928 E Illinois Ave, Spokane, WA and can be reached out via phone at 509-258-4517 and via fax at 509-258-6757.

Location: 928 E Illinois Ave, Spokane, WA, 99207-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114263225
Provider Name
David C. Wynecoop, Memorial Clinic
Credential
Provider Entity Type
Organization
Address
928 E Illinois Ave, Spokane, WA, 99207-2637
Phone Number
509-258-4517
Fax Number
509-258-6757
Provider Enumeration Date
12/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
928 E Illinois Ave
City
Spokane
State
Washington
Zip
99207-2637
Phone Number
509-258-4517
Fax Number
509-258-6757
person
Provider Business Mailing Address Details
Address
928 E Illinois Ave
City
Spokane
State
Washington
Zip
99207-2637
Phone Number
509-258-4517
Fax Number
509-258-6757
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
RN00147960 (Washington)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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