Lewis Clark Imaging, Llc | |
336 Warner Dr Ste B Lewiston ID 83501-4441 | |
(360) 391-9311 | |
(208) 473-7304 |
Full Name | Lewis Clark Imaging, Llc |
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Speciality | Clinic/Center |
Location | 336 Warner Dr Ste B, Lewiston, Idaho |
Authorized Official Name and Position | Ivy Gwost (CO-OWNER) |
Authorized Official Contact | 3603919311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lewis Clark Imaging, Llc 336 Warner Dr Ste B Lewiston ID 83501-4441 Ph: (360) 391-9311 | Lewis Clark Imaging, Llc 336 Warner Dr Ste B Lewiston ID 83501-4441 Ph: (360) 391-9311 |
NPI Number | 1316659899 |
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Provider Enumeration Date | 12/16/2022 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 2062851678 |
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Medicare Enrollment ID | O20240416001445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316659899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Primary |
Southway Internists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway, Suite C, Lewiston, ID 83501 Phone: 208-746-1333 Fax: 208-746-8090 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
Laennec Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5522 | |
St. Joseph Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Thain Grade, Lewiston, ID 83501 Phone: 208-717-3100 Fax: 208-717-3099 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
North Central District Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-0349 |