PULLMAN FAMILY MEDICINE
NPI 1174668412
Clinic/Center - Primary Care in Pullman, WA

Active since February 21, 2007CLIA 50D0697643 · Microscopy
915 NE VALLEY RD, PULLMAN, WA 99163(509) 332-3548(509) 332-5253 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pullman Family Medicine NPPES

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

PULLMAN FAMILY MEDICINE (NPI 1174668412) is a healthcare organization registered as a primary care in Pullman, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Richard A Emtman, Partner, as its authorized official.

NPPES Registry Identity

NPI1174668412
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePULLMAN FAMILY MEDICINE
Location Address915 NE VALLEY RDPullman, WA 99163-3845
Mailing Address915 Ne Valley RdPullman, WA 99163-3845 · (509) 332-3548 · Fax (509) 332-5253
Fax(509) 332-5253
Organization SubpartNo
Authorized OfficialRichard A EmtmanPartner · (509) 332-3548
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1174668412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
915 NE VALLEY RD, Pullman, WA 99163

Other Identifiers 3

Other7030588WA · Dept Of Social & Health S
Other34320WA · Labor & Industries
Other3504WA · Molina

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) 50D0697643

Pullman Family Medicine · Pullman, WA
Active · expires Apr 4, 2028
CLIA Number50D0697643
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2010
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKimberly A. Guida
Laboratory Phone(509) 332-3548
Laboratory LocationPullman Family Medicine915 NE Valley Rd, Pullman, WA 99163
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 13

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

Physician Assistant (Medical)
915 NE VALLEY RD
PULLMAN, WA 99163
Nurse Practitioner
915 NE VALLEY RD
PULLMAN, WA 99163
Nurse Practitioner (Family)
915 NE VALLEY RD
PULLMAN, WA 99163
Family Medicine
915 NE VALLEY RD
PULLMAN, WA 99163
Family Medicine
915 NE VALLEY RD
PULLMAN, WA 99163
Family Medicine
915 NE VALLEY RD
PULLMAN, WA 99163
Family Medicine
915 NE VALLEY RD
PULLMAN, WA 99163
Family Medicine
915 NE VALLEY RD
PULLMAN, WA 99163

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 Family Medicine's NPI number?

The NPI number for Pullman Family Medicine is 1174668412. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Pullman Family Medicine located?

Pullman Family Medicine is located at 915 NE Valley Rd, Pullman, WA 99163. The listed phone number is (509) 332-3548.

What is Pullman Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pullman Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0697643) 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 Pullman Family Medicine was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.