PURE HEALTHCARE OF WASHINGTON LLC – Multi-Specialty Clinic/Center, NPI 1093487464
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PURE HEALTHCARE OF WASHINGTON LLC
1818 S Union Ave Ste 2B
Tacoma, WA 984051953
Phone: (253) 393-2700
Fax: (253) 369-0389
Type: Location
522 W Riverside Ave Ste N
Spokane, WA 992010580
Phone: (855) 550-3358
Type: Location
360 Lilly Rd NE Ste B
Olympia, WA 985065430
Phone: (360) 436-6800
Fax: (360) 485-0311
Type: Location
8308 E Mill Plain Blvd Ste 102
Vancouver, WA 986642066
Phone: (360) 639-8720
Fax: (360) 326-1700
Type: Location
16201 E INDIANA AVE STE 3100
SPOKANE VALLEY, WA 992162844
Phone: (509) 418-9880
Fax: (509) 267-3119
Type: Location
12515 Willows Rd NE Ste 500
Kirkland, WA 980348762
Phone: (425) 468-6935
Fax: (425) 968-1989
Type: Location
105 S 1st St Ste 100
Yakima, WA 989012826
Phone: (509) 508-4808
Fax: (509) 355-5225
Type: Location
522 W RIVERSIDE AVE STE N
SPOKANE, WA 992010580
Phone: (855) 550-3358
Type: Location
4179 S RIVERBOAT RD STE 220
TAYLORSVILLE, UT 841232986
Phone: (855) 550-3358
Type: Mailing
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: 2022-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220112000003 | O | Clinic/Group Practice | WA | TBD |
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.
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 98405)
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Reviews
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