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CLEARWATER VALLEY HOSPITAL & CLINICS INC NPI 1073551396


NPI Information

NPI: 1073551396
Provider Name: CLEARWATER VALLEY HOSPITAL & CLINICS INC

Doing Business As: CLEARWATER VALLEY HOSPITAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
301 CEDAR ST
OROFINO, ID
ZIP 83544
Phone: (208) 476-4555
Get Directions

CLEARWATER VALLEY HOSPITAL & CLINICS INC is a family medicine in Orofino, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLEARWATER VALLEY HOSPITAL & CLINICS INC NPI is 1073551396. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clearwater Valley Hospital Clinic.

The provider's business location address is:

301 CEDAR ST
OROFINO, ID
ZIP 83544-029
Phone: (208) 476-4555
Fax: (208) 476-5385

The provider's authorized official is Lenne J Bonner .
The authorized official title is Cfo and has the following contact phone number (208) 476-4555.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/8/2014.


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
1363A00000XPhysician AssistantNo
2207Q00000XFamily MedicineYes

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
1805060900MEDICAIDIDAHO
21372287MEDICARE PINIDAHO

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.