Community Healthcare Of The Palouse | |
619 S Washington St Ste 203 Moscow ID 83843-3090 | |
(208) 892-1346 | |
(208) 892-8306 |
Full Name | Community Healthcare Of The Palouse |
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Speciality | Family Medicine |
Location | 619 S Washington St, Moscow, Idaho |
Authorized Official Name and Position | Robert Neal Spady (GENERAL PARTNER) |
Authorized Official Contact | 2088921346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Healthcare Of The Palouse Po Box 3509 Coeur D Alene ID 83816-2517 Ph: () - | Community Healthcare Of The Palouse 619 S Washington St Ste 203 Moscow ID 83843-3090 Ph: (208) 892-1346 |
NPI Number | 1346263308 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 10/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346263308 | NPI | - | NPPES |
1061589 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gritman Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 W A St Ste G, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |