Clearwater Medical Center Pllc in Lewiston - Family

Clearwater Medical Center Pllc - NPI 1558452268

Clearwater Medical Center Pllc is a Family in Lewiston, Idaho. Clearwater Medical Center Pllc practices all healthcare services and medical treatments related to Family. The NPI Number for Clearwater Medical Center Pllc is 1558452268. The last update date is 2008-12-16.

Clearwater Medical Center Pllc's current location address is 1522 17th St, Lewiston, Idaho. You can contact this provider via phone number 2087438416 and fax number 2087434642. The mailing address for Clearwater Medical Center Pllc is 1522 17th St, Lewiston, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clearwater Medical Center Pllc
Address 1522 17th St, Lewiston, Idaho
Phone Number 2087438416
Fax Number 2087434642
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PHYS
Authorized Official Name Chavez R Celso
Credentials MD
Telephone Number 2087438416

NPI Number Detail

NPI Number 1558452268
Provider Enumeration Date 2006-09-27
Last Updated Date 2008-12-16

Provider Mailing Address Detail

Address 1522 17th St
City Lewiston
State Idaho (ID)
Post Code 835013652
Phone Number 2087438416
Fax Number 2087434642

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No NP740A
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Clearwater Medical Center Pllc

What is the unique identifier code issued to Clearwater Medical Center Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Clearwater Medical Center Pllc has been assigned the NPI (National Provider Identifier) 1558452268. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Clearwater Medical Center Pllc?

The Clearwater Medical Center Pllc is situated at 1522 17Th St, in the city of Lewiston, state of ID, with the zip code 835013652.

What is Clearwater Medical Center Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Clearwater Medical Center Pllc is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

When did the Clearwater Medical Center Pllc receive its 1558452268?

The Clearwater Medical Center Pllc was issued its 1558452268 on 2006-09-27, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Clearwater Medical Center Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Clearwater Medical Center Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-16.

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