Provider Demographics
NPI:1093561391
Name:THE COOLSUITE INC
Entity type:Organization
Organization Name:THE COOLSUITE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:TIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CCMA
Authorized Official - Phone:916-370-3745
Mailing Address - Street 1:510 W RIVERSIDE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0520
Mailing Address - Country:US
Mailing Address - Phone:509-368-9118
Mailing Address - Fax:
Practice Address - Street 1:510 W RIVERSIDE AVE STE 104
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0520
Practice Address - Country:US
Practice Address - Phone:509-368-9118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty