TWO RIVERS MEDICAL CLINIC, PA
NPI 1376662486
Clinic/Center - Rural Health in Weiser, ID
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
Specialties & Licenses 2
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Two Rivers Medical Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Two Rivers Medical Clinic, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 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.
Is Two Rivers Medical Clinic, PA enrolled in Medicare?
Yes. Two Rivers Medical Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Two Rivers Medical Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Two Rivers Medical Clinic, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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. and Molina Healthcare 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.
# Two Rivers Medical Clinic, Pa · NPI 1376662486
Rural Health organization in Weiser, Idaho. Organization record, active in the CMS NPPES registry since March 28, 2007.
## Identity
- **NPI:** 1376662486 (Entity type: Organization)
- **Enumerated:** March 28, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Tony Edmondson, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 683 E 3RD ST, Weiser, ID 83672-2248
- **Phone:** (208) 549-0211 · **Fax:** (208) 549-0104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2016
- **Other identifiers:** Medicaid 1376662486 (ID); Medicaid 805040300 (ID); Medicaid 002756600 (ID); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376662486) · Data from the CMS NPPES public registry.