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TWO RIVERS MEDICAL CLINIC, PA
NPI 1376662486
Clinic/Center - Rural Health in Weiser, ID

Active since March 28, 2007CLIA 13D0521438 · Microscopy
683 E 3RD ST, WEISER, ID 83672(208) 549-0211(208) 549-0104 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Two Rivers Medical Clinic, Pa NPPES

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

TWO RIVERS MEDICAL CLINIC, PA (NPI 1376662486) is a healthcare organization registered as a rural health in Weiser, Idaho and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through January 18, 2027 and lists Tony Edmondson, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1376662486
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTWO RIVERS MEDICAL CLINIC, PA
Location Address683 E 3RD STWeiser, ID 83672-2248
Mailing AddressPo Box 871Weiser, ID 83672-0001 · (208) 549-0211 · Fax (208) 549-0104
Phone(208) 549-0211
Fax(208) 549-0104
Organization SubpartNo
Authorized OfficialTony EdmondsonClinic Administrator · (208) 549-0211
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 12, 2016
✔ NPI 1376662486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
683 E 3RD ST, Weiser, ID 83672
Open in Google Maps ↗

Other Identifiers 7

Medicaid1376662486ID
Medicaid805040300ID
Medicaid002756600ID
Medicaid002756300ID
Medicare ID-Type Unspecified1373810ID
Medicare ID-Type Unspecified1373819ID
Medicare OSCAR/certification133836ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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) 13D0521438

Two Rivers Medical Clinic PA · Weiser, ID
Active · expires Jan 18, 2027
CLIA Number13D0521438
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorLore Wootton
Laboratory Phone(208) 549-0211
Laboratory LocationTwo Rivers Medical Clinic PA683 E 3rd St, Weiser, ID 83672
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.

ELIZABETH L BAUER FNP
Nurse Practitioner (Family)
683 E 3RD ST
WEISER, ID 83672
Washington County (208) 549-0211
DELAND RAY BARR D.O.
Family Medicine
683 E 3RD ST
WEISER, ID 83672
Washington County (208) 549-0211
DR. SUZANNA DYANN HUBELE M.D.
Family Medicine
683 E 3RD ST
WEISER, ID 83672
Washington County (208) 549-0211
SELENA JEANETTE ANKARBERG FNP
Nurse Practitioner
683 E 3RD ST
WEISER, ID 83672
Washington County (208) 549-0211
LORE BETH WOOTTON M.D.
Family Medicine
683 E 3RD ST
WEISER, ID 83672
Washington County (208) 549-0211
KENT LEROY HAMILTON PAC
Physician Assistant
683 E 3RD ST
WEISER, ID 83672
Washington County (208) 549-0211

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 Two Rivers Medical Clinic, PA's NPI number?

The NPI number for Two Rivers Medical Clinic, PA is 1376662486. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Two Rivers Medical Clinic, PA located?

Two Rivers Medical Clinic, PA is located at 683 E 3rd St, Weiser, ID 83672. The listed phone number is (208) 549-0211.

What is Two Rivers Medical Clinic, PA's specialty?

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

Does Two Rivers Medical Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0521438) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Two Rivers Medical Clinic, PA accept?

Health plans from Moda Health Plan, Inc. list Two Rivers Medical Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Two Rivers Medical Clinic, PA was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.