Market Street Clinic – Federally Qualified Health Center (FQHC), NPI 1003994252

Market Street Clinic is a healthcare provider. based in Spokane, Washington. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Market Street Clinic is 1003994252

Main info

Organization
Name
Market Street Clinic
NPI
1003994252
Phone
(509) 444-8888
Address
611 N IRON BRIDGE WAY
Authorized Official
AARON WILSON CEO
Enumeration Date
2 November 2006
Last Update Date
5 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness90
Years active:19State licenses:0Digital endpoints

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Provider Addresses for Market Street Clinic

  • Iron Bridge Way, East Central, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 992024932

    Phone: (509) 444-8888

    Fax: (509) 444-7806

    Type: Mailing

  • 731 N IRON BRIDGE WAY

    SPOKANE, WA 992024926

    Phone: (509) 444-8888

    Fax: (509) 444-7806

    Type: Mailing

  • 5921, North Market Street, Hillyard, Spokane, Spokane County, Washington, 99208, United States

    SPOKANE, WA 992082484

    Phone: (509) 444-8200

    Fax: (509) 444-7806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100922000417OFederally Qualified Health Center (Fqhc)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99202)

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Reviews

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Frequently asked questions

What federal number belongs to Market Street Clinic?
The federal identifier for Market Street Clinic is NPI 1003994252.
Is Market Street Clinic's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Market Street Clinic's specialty in plain language?
Clinically, the directory lists Market Street Clinic with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where does public data place Market Street Clinic?
The snapshot lists Spokane, Washington for Market Street Clinic; download NPPES for the complete set.
What if Spokane, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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