Stacey Clark
PROVIDENCE HEALTH AND SERVICES WASHINGTON


Address: 421 S Division St, Spokane, WA 99202-1331
Phone: 5094742100

Stacey Clark (NPI# 1013170869, PAC ID# 7214116383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1013170869
PAC ID by PECOS 7214116383
Professional Enrollment ID I20170630001518
Full Name Stacey Clark
Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Address 421 S Division St
Spokane
WA 99202-1331
Phone Number 5094742100
Gender M
Graduation Year 2008
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 0345139929
Number of Group Practice Members 561
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
501303 WILLAPA HARBOR HOSPITAL
501331 PULLMAN REGIONAL HOSPITAL

Other Locations

Address Phone Organization
826 Alder St, South Bend, WA 98586-4900 3608755526 PACIFIC COUNTY HOSPITAL DISTRICT 2
421 S Division St, Spokane, WA 99202-1331 5094742100 PROVIDENCE HEALTH AND SERVICES WASHINGTON

Organization Information

Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Physicians 1132

Physicians with the same organization

Name Specialty Organization Address
Sarah Kinnard Nurse Practitioner Providence Health and Services Washington 2555 Marvin Rd Ne, Lacey, WA 98516-3138
Alexander Lee Telis Orthopedic Surgery Providence Health and Services Washington 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450
Jodi Ann Fischer Nurse Practitioner Providence Health and Services Washington 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908
Katherine Elizabeth Reynolds Nurse Practitioner Providence Health and Services Washington 1212 N Pines Rd, Spokane Valley, WA 99206-4939
Eugene Daniel Villacian Nurse Practitioner Providence Health and Services Washington 3333 Ensign Rd Ne, Olympia, WA 98506-5012
Shira Y Albert Nurse Practitioner Providence Health and Services Washington 12312 E Sprague Ave, Spokane Valley, WA 99216-0720
Lisa Tisch Nurse Practitioner Providence Health and Services Washington 551 E Hawthorne Rd, Spokane, WA 99218-1417
Natalie S Angus Family Medicine Providence Health and Services Washington 931 S Market Blvd, Chehalis, WA 98532-3423
Tabatha Schellenger Nurse Practitioner Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Callie Rose Adams Nurse Practitioner Providence Health and Services Washington 212 E Central Ave, Suite 240, Spokane, WA 99208-6597

Office Location

Street Address 421 S DIVISION ST
City SPOKANE
State WA
Zip 99202-1331

Physicians in the same location

Name Specialty Organization Address
Mitchell Van Tippetts Family Medicine Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Jordan Storhaug Family Medicine Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Aimee M Gence Nurse Practitioner Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Katie Marie Moore Nurse Practitioner Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
William Nelson Family Medicine Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Roxanna Jones Family Medicine Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Rachael A Witham Family Medicine Providence Health and Services Washington 421 S Division St, Suite 2, Spokane, WA 99202-1331
Chelsey Jane Oneill Nurse Practitioner Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Stephanie Gering Family Medicine Providence Health and Services Washington 421 S Division St, Suite 2, Spokane, WA 99202-1331
Robert E Lichfield Family Medicine Providence Health and Services Washington 421 S Division St, Spokane, WA 99202-1331
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jonathan M Morrill Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Alicia S Fuhrman Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Gregory T Carter Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Kevin Pidgeon Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Patrice N Stevenson Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Mark R Varga Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Donald Merwin Ericson Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Michael D Goodman Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Aaron Matthew King Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Frank Jackson Physical Medicine and Rehabilitation Inland Northwest Health Services 715 S Cowley, 224 St Lukes Physiatry, Spokane, WA 99202
Find all physicians in zip 99202

Competitor

Search similar physicians

City SPOKANE
Zip Code 99202
Specialty EMERGENCY MEDICINE
City + Specialty SPOKANE + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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