Pullman Regional Hospital Clinic Network LLC
Pullman Regional Hospital Clinic Network LLC provides Pediatrics Physician services in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1420 S Blaine St Ste 5Moscow, ID 83843-3973 Not confirmed with CMS for 11 years — call before visiting
Phone: (208) 882-2247
Fax: (509) 336-7482
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 13-3860 (ID) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X |
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1205104593 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Grover 'Pete' Peters — Clinic Administrator · (509) 332-6139 |
| Other names | Palouse Pediatrics - Moscow |
| NPI enumerated | December 1, 2011 |
| Last updated in NPPES | June 26, 2015 |
| Mailing address | 840 Se Bishop Blvd Ste 101, Pullman, WA 99163-5502 |
Other providers in Moscow
-
Summer Lynn Day, MD
623 S Main St Ste 1, Moscow, ID 83843-2983 · (208) 882-2011
-
Nurture Pediatrics PC
1054 Aponi Pl, Moscow, ID 83843-0936 · (208) 997-9204
-
Dr. Jessica Katharine Strong, MD
1054 Aponi Pl, Moscow, ID 83843-0936 · (250) 961-8442