Mt. Spokane Pediatrics, Pllc
Multi-Specialty
759 E Holland Ave Ste 101, Spokane
Washington, 99218-1257
509-270-0065 509-319-2520
Mt. Spokane Pediatrics, Pllc is a Multi-Specialty in Spokane, Washington. It is located at 759 E Holland Ave Ste 101, Spokane and it's customer support contact number is 509-270-0065. The authorized person of Mt. Spokane Pediatrics, Pllc is Taylor Root who is Admin of this DME and his contact number is 509-270-0065. Mt. Spokane Pediatrics, Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mt. Spokane Pediatrics, Pllc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Mt. Spokane Pediatrics, Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mt. Spokane Pediatrics, Pllc |
| Type: | Multi-Specialty |
| Location: | 759 E Holland Ave Ste 101, Spokane,
Washington, 99218-1257 |
| Phone: | 509-270-0065 |
| Fax: | 509-319-2520 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Taylor Root |
| Position: | Admin |
| Contact Number: | 509-270-0065 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1477934578 |
| NPI Enumeration Date: | 15 Jun, 2015 |
| NPI Last Update On: | 05 Feb, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mt. Spokane Pediatrics, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Multi-Specialty | | | Primary | |
| Customized Equipment | | | Secondary | |
| Primary Care | | | Secondary | |
| Pediatrics | | | Secondary | |
| Family | | | Secondary | |
| Nurse Practitioner | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Acute Care | | | Secondary | |
| Psych/Mental Health | | | Secondary | |
Medicare Enrollment:
Mt. Spokane Pediatrics, Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1456764562 | O20210111001337 | Mt Spokane Pediatrics Pllc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 759 E Holland Ave Ste 101,
Spokane, Washington |
| Zip: | 99218-1257 |
| Phone Number: | 509-270-0065 |
| Fax Number: | 509-319-2520 |
Patients can reach Mt. Spokane Pediatrics, Pllc at
759 E Holland Ave Ste 101, Spokane, Washington or can
call on customer care at 509-270-0065.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.