<unavail> in Moscow, ID - Clinic/Center

is a primary clinic (Clinic/center) in Moscow, Idaho. The current practice location for is 804 S Washington St Ste A, Moscow, Idaho. For appointments, you can reach them via phone at (208) 883-1152. The mailing address for is 700 S Main St, Moscow, Idaho and phone number is (208) 882-4511.

is licensed to practice in Idaho (license number 39) and its NPI number is 1790182590. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (208) 883-1152.

Contact Information


	804 S Washington St Ste A Moscow ID 83843-3182
	(208) 883-1152
	(208) 882-1486

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center
Location	804 S Washington St Ste A, Moscow, Idaho
Authorized Official Name and Position	Preston J Becker (CFO)
Authorized Official Contact	2088832221
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
700 S Main St Moscow ID 83843-3056 Ph: (208) 882-4511	804 S Washington St Ste A Moscow ID 83843-3182 Ph: (208) 883-1152

NPI Details:

NPI Number	1790182590
Provider Enumeration Date	11/24/2014
Last Update Date	12/04/2015

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790182590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	39 (Idaho)	Primary

Reviews and Comments

Clinic/Center in Moscow, ID

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 619 S Washington St, Suite 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 S Washington St Ste A, Moscow, ID 83843 Phone: 208-883-1152 Fax: 208-882-1486
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 S. Main Street, Ste 120, Moscow, ID 83843 Phone: 509-444-8888 Fax: 509-444-7806
Community Healthcare Of The Palouse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 S Washington St, Ste 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 831 Ash St, Moscow, ID 83844 Phone: 208-885-2210 Fax: 208-885-1002

- Primary Care in Moscow, ID