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POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA NPI 1053387985


NPI Information

NPI: 1053387985
Provider Name: POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 13D1042785

Address:
1300 E MULLAN SUTE 1600
POST FALLS, ID
ZIP 83854
Phone: (208) 773-0721
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POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA is an internal medicine in Post Falls, ID. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA NPI is 1053387985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 E MULLAN SUTE 1600
POST FALLS, ID
ZIP 83854
Phone: (208) 773-0721
Fax: (208) 773-3306

The provider's authorized official is Pam S Gregg .
The authorized official title is Billing Clerk and has the following contact phone number (208) 773-0721.

The CLIA number assigned to this NPI record is 13D1042785 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine17473WASHINGTONNo
2207R00000XInternal MedicineM3785IDAHOYes

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
17098353MEDICAIDWASHINGTON

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.