SNAKE RIVER COMMUNITY CLINIC
NPI 1003440082
Registered Nurse - General Practice in Lewiston, ID

Q: What is Snake River Community Clinic's NPI number?

The NPI number for Snake River Community Clinic is 1003440082. It was assigned to this organization in the NPPES registry on February 27, 2020.

Q: What is Snake River Community Clinic's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Active since February 27, 2020CLIA 13D2192332 · Microscopy

215 10TH ST, LEWISTON, ID 83501(208) 743-5899(208) 743-9130 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Snake River Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SNAKE RIVER COMMUNITY CLINIC (NPI 1003440082) is a healthcare organization registered as a general practice in Lewiston, Idaho and active in the NPI registry since February 2020. The organization holds a CLIA Microscopy certificate valid through September 8, 2026 and lists Charlotte Ash, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003440082

Entity TypeOrganization

Primary Taxonomy163WG0000X

Legal Business NameSNAKE RIVER COMMUNITY CLINIC

Location Address215 10TH STLewiston, ID 83501-1910

Mailing AddressPo Box 6Lewiston, ID 83501-0006 · (208) 743-5899 · Fax (208) 743-9130

Phone(208) 743-5899

Fax(208) 743-9130

Organization SubpartNo

Authorized OfficialCharlotte AshExecutive Director · (208) 743-5899

Enumeration DateFebruary 27, 2020

✔ NPI 1003440082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers

Taxonomy Code163WG0000X

215 10TH ST, Lewiston, ID 83501

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2192332

Snake River Community Clinic · Lewiston, ID

Active · expires Sep 8, 2026

CLIA Number13D2192332

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 9, 2024

Certificate Expiration DateSeptember 8, 2026

Laboratory DirectorAngela Scharnhorst

Laboratory Phone(208) 743-5899

Laboratory LocationSnake River Community Clinic215 10th St, Lewiston, ID 83501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN P STUTZMAN NP

Nurse Practitioner (Women's Health)