SNAKE RIVER COMMUNITY CLINIC NPI 1003440082

NPI Information

SNAKE RIVER COMMUNITY CLINIC is a general practice registered nurse in Lewiston, ID. SNAKE RIVER COMMUNITY CLINIC NPI is 1003440082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 10TH ST
LEWISTON, ID
ZIP 83501-910
Phone: (208) 743-5899
Fax: (208) 743-9130

The provider's authorized official is Charlotte Ash .
The authorized official title is Executive Director and has the following contact phone number (208) 743-5899.

The CLIA number assigned to this NPI record is 13D2192332 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/27/2020 and was last updated on 2/27/2020.

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:

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