Provider Demographics
NPI:1952103939
Name:SPARROW HEALTH & WELLNESS CLINIC
Entity type:Organization
Organization Name:SPARROW HEALTH & WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:509-506-4600
Mailing Address - Street 1:11707 E SPRAGUE AVE STE LL101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6110
Mailing Address - Country:US
Mailing Address - Phone:509-506-4600
Mailing Address - Fax:
Practice Address - Street 1:11707 E SPRAGUE AVE STE LL101
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6110
Practice Address - Country:US
Practice Address - Phone:509-506-4600
Practice Address - Fax:509-219-3835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty