PULLMAN READYCARE
NPI 1548299696
Family Medicine in Pullman, WA

Q: What is Palouse Medical Ps's NPI number?

The NPI number for Palouse Medical Ps is 1548299696. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is also known as Pullman Readycare.

Q: What is Palouse Medical Ps's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 01, 2006CLIA 50D0673703 · Waiver

825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163(509) 332-2517(509) 334-9247 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Pullman Readycare NPPES

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

PULLMAN READYCARE (NPI 1548299696) is a healthcare organization registered as a family medicine in Pullman, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stephanie M Fosback, President, as its authorized official.

NPPES Registry Identity

NPI1548299696

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePALOUSE MEDICAL PS

Location Address825 SE BISHOP BLVD STE 200Pullman, WA 99163-5537

Mailing Address825 Se Bishop Blvd Ste 200Pullman, WA 99163-5537 · (509) 332-2517 · Fax (509) 334-9247

Phone(509) 332-2517

Fax(509) 334-9247

Organization SubpartNo

Authorized OfficialStephanie M FosbackPresident · (509) 332-2517

Enumeration DateJuly 1, 2006

Last NPPES UpdateAugust 17, 2023

NPPES CertifiedAugust 17, 2023

✔ NPI 1548299696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

825 SE BISHOP BLVD STE 200, Pullman, WA 99163

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Other Names 1

Other Identifiers 2

Medicaid7085418WA

Medicaid003202800ID

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

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 50D0673703

Palouse Medical, Ps · Pullman, WA

Active · expires Apr 4, 2028

CLIA Number50D0673703

Laboratory TypePhysician Office

Certificate Effective DateOctober 14, 2024

Certificate Expiration DateApril 4, 2028

Laboratory DirectorKassandra Tricola

Laboratory Phone(509) 334-7857

Laboratory LocationPalouse Medical, Ps825 SE Bishop Blvd Ste 200, Pullman, WA 99163

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 16

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

MR. TODD B BLEDSOE PA

Physician Assistant (Medical)