PALOUSE PEDIATRICS - PULLMAN
NPI 1063646107
Clinic/Center - Rural Health in Pullman, WA

Active since May 04, 2009
1205 SE PRO MALL BLVD STE 104, PULLMAN, WA 99163(509) 332-6139(509) 332-6579 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2017, Jul 14, 2016 (2 updates tracked since 2016).

About Palouse Pediatrics - Pullman NPPES

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

PALOUSE PEDIATRICS - PULLMAN (NPI 1063646107) is a healthcare organization registered as a rural health in Pullman, Washington and active in the NPI registry since May 2009. The organization lists Steven Febus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063646107
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePULLMAN REGIONAL HOSPITAL CLINIC NETWORK LLC
Location Address1205 SE PRO MALL BLVD STE 104Pullman, WA 99163-5423
Mailing Address840 Se Bishop Blvd Ste 101Pullman, WA 99163-5502 · (509) 332-6139 · Fax (509) 332-6579
Fax(509) 332-6579
Organization SubpartNo
Authorized OfficialSteven FebusCfo · (509) 332-6139
Enumeration DateMay 4, 2009
Last NPPES UpdateSeptember 20, 20172 updates tracked since enumeration
NPI 1063646107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in WA · 50-3922
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1205 SE PRO MALL BLVD STE 104, Pullman, WA 99163

Other Names 1

Doing Business AsPalouse Pediatrics - Pullman

Other Identifiers 2

Other50-3922WA · Cms Certification
OtherG8891113WA · Medicare Ptan

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

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 Pullman Regional Hospital Clinic Network LLC's NPI number?

The NPI number for Pullman Regional Hospital Clinic Network LLC is 1063646107. It was assigned to this organization in the NPPES registry on May 4, 2009. The provider is doing business as Palouse Pediatrics - Pullman.

Where is Pullman Regional Hospital Clinic Network LLC located?

Pullman Regional Hospital Clinic Network LLC is located at 1205 SE Pro Mall Blvd Ste 104, Pullman, WA 99163. The listed phone number is (509) 332-6139.

What is Pullman Regional Hospital Clinic Network LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Pullman Regional Hospital Clinic Network LLC was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.