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PALOUSE-CLEARWATER NEUROLOGY P.A. NPI 1932412103


NPI Information

NPI: 1932412103
Provider Name: PALOUSE-CLEARWATER NEUROLOGY, P.A.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
619 S WASHINGTON ST
SUITE 201
MOSCOW, ID
ZIP 83843
Phone: (208) 882-1777
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PALOUSE-CLEARWATER NEUROLOGY, P.A. is a neurology psychiatry neurology in Moscow, ID. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. PALOUSE-CLEARWATER NEUROLOGY, P.A. NPI is 1932412103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

619 S WASHINGTON ST
SUITE 201
MOSCOW, ID
ZIP 83843-090
Phone: (208) 882-1777
Fax: (208) 882-7006

The provider's authorized official is Barbara Dale Morgan .
The authorized official title is Owner and has the following contact phone number (208) 882-1777.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 7/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyM6219IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB08640MEDICARE PINWASHINGTON
28146342MEDICAIDWASHINGTON
31127393MEDICARE PINIDAHO
4B54858MEDICARE UPIN
5M0027067MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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