ALVA JACK CHILDRESS (MD) – Obstetrics & Gynecology Physician, NPI 1467451906

ALVA JACK CHILDRESS (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. MD114350 (MO). The NPI Number for ALVA JACK CHILDRESS (MD) is 1467451906

Main info

Male
Name
ALVA JACK CHILDRESS (MD)
NPI
1467451906
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
18 July 2005
Last Update Date
3 May 2021

Contacts

Secure Messaging
achildress219041@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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Provider Addresses for ALVA JACK CHILDRESS (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SUITE 1100

    SPOKANE, WA 992042307

    Phone: (509) 474-4060

    Fax: (509) 474-6198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 99019)

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Reviews

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Frequently asked questions

What unique ID ties claims to ALVA JACK CHILDRESS (MD)?
NPI 1467451906 is assigned to ALVA JACK CHILDRESS (MD) under the national enumeration system.
Does this profile mean ALVA JACK CHILDRESS (MD) is currently active?
Yes — ALVA JACK CHILDRESS (MD) appears active in the national provider directory.
Can you summarize ALVA JACK CHILDRESS (MD)'s specialty in plain language?
Clinically, the directory lists ALVA JACK CHILDRESS (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ALVA JACK CHILDRESS (MD)?
The page summarizes Liberty Lake, Washington for ALVA JACK CHILDRESS (MD); expand the address list for detail.
How can I contact ALVA JACK CHILDRESS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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