PALOUSE PEDIATRICS - MOSCOW
NPI 1205104593
Clinic/Center - Rural Health in Moscow, ID
About Palouse Pediatrics - Moscow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALOUSE PEDIATRICS - MOSCOW (NPI 1205104593) is a healthcare organization registered as a rural health in Moscow, Idaho and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Grover 'pete' C Peters, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
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 of Waiver 13D2033642
Palouse Pediatrics · Moscow, IDFrequently 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 1205104593. It was assigned to this organization in the NPPES registry on December 1, 2011. The provider is doing business as Palouse Pediatrics - Moscow.
Where is Pullman Regional Hospital Clinic Network LLC located?
Pullman Regional Hospital Clinic Network LLC is located at 1420 S Blaine St Ste 5, Moscow, ID 83843. The listed phone number is (208) 882-2247.
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.
Does Pullman Regional Hospital Clinic Network LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2033642) is associated with this NPI, valid through December 6, 2027. 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 Regional Hospital Clinic Network LLC was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
