Organization · Type 2 NPI
Pullman Regional Hospital Clinic Network LLC
Rural Health Clinic/Center · Moscow, ID
NPI number
1205104593
Active
Practice location
1420 S Blaine St Ste 5
Moscow, ID 83843-3973
Fax (509) 336-7482
Mailing address
840 SE Bishop Blvd Ste 101
Pullman, WA 99163-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | 13-3860 (ID) |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Moscow
About NPI 1205104593
Pullman Regional Hospital Clinic Network LLC's National Provider Identifier is 1205104593, issued on Dec 1, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Moscow, ID. The record was last updated on Jun 26, 2015.