MOUNTAIN WEST DERM - BLACKHART PLLC – NPI #1619517539
Clinic/Center

MOUNTAIN WEST DERM - BLACKHART PLLC is an AHC clinic located in SPOKANE VALLEY, WA. NPPES has assigned the NPI number 1619517539 to MOUNTAIN WEST DERM - BLACKHART PLLC on January 08, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAIN WEST DERM - BLACKHART PLLC below.

NPI Profile for
MOUNTAIN WEST DERM - BLACKHART PLLC

NPI Number
1619517539
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAIN WEST DERM - BLACKHART PLLC
Primary location
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212-2444
Phone: (509) 456-7414 Fax: (509) 624-0764
1 Other location(s):
1700 W Riverstone Dr
Coeur D Alene, ID 83814-5683
Phone: (208) 770-2822
Fax: (208) 770-2911
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRET BLACKHART
OWNER
Phone: (775) 336-3624
Updated
Certification Date
Jan 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.