1. Home
  2. Directory
  3. Washington
  4. Chewelah
  5. Family Medicine
  6. NPI Profile

CHEWELAH ASSOCIATED PHYSICIANS
NPI 1063632388
Family Medicine in Chewelah, WA

Active since April 27, 2007CLIA 50D0638751 · Microscopy
410 E KING ST, CHEWELAH, WA 99109(509) 935-8711(509) 935-4882 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chewelah Associated Physicians NPPES

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

CHEWELAH ASSOCIATED PHYSICIANS (NPI 1063632388) is a healthcare organization registered as a family medicine in Chewelah, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Thomas John Boone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063632388
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHEWELAH ASSOCIATED PHYSICIANS
Location Address410 E KING STChewelah, WA 99109
Mailing Address410 E King StChewelah, WA 99109 · (509) 935-8711 · Fax (509) 935-4882
Phone(509) 935-8711
Fax(509) 935-4882
Organization SubpartNo
Authorized OfficialThomas John BooneCeo · (509) 935-8711
Enumeration DateApril 27, 2007
Last NPPES UpdateMarch 6, 2008
✔ NPI 1063632388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
410 E KING ST, Chewelah, WA 99109
Open in Google Maps ↗

Other Identifiers 1

Medicaid7109176WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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) 50D0638751

Chewelah Associated Physicians · Chewelah, WA
Active · expires Apr 4, 2028
CLIA Number50D0638751
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 1994
Certificate Expiration DateApril 4, 2028
Laboratory DirectorThomas J. Boone
Laboratory Phone(509) 935-8711
Laboratory LocationChewelah Associated Physicians410 E King St, Chewelah, WA 99109
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 6

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

CHEWELAH ASSOCIATED PHYSICIANS PS
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Stevens County (509) 935-8711
MS. CAROLYN STARR FULLMER PAC
Physician Assistant
410 E KING ST
CHEWELAH, WA 99109
Stevens County (509) 935-8711
CHEWELAH ASSOCIATED PHYSICIANS
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Stevens County (509) 935-8711
DR. JAMES GREGORY SISCO MD
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Stevens County (509) 935-8711
DR. KIMBERLYN ANN JOHNSTONE M.D.
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Stevens County (509) 935-8711
DR. ROBIN NELSON MOYER MD
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Stevens County (509) 935-8711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chewelah Associated Physicians's NPI number?

The NPI number for Chewelah Associated Physicians is 1063632388. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Chewelah Associated Physicians located?

Chewelah Associated Physicians is located at 410 E King St, Chewelah, WA 99109. The listed phone number is (509) 935-8711.

What is Chewelah Associated Physicians's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Chewelah Associated Physicians hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0638751) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chewelah Associated Physicians was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.