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SNAKE RIVER ADULT MEDICINE LLC
NPI 1548752918
Clinic/Center - Primary Care in Clarkston, WA

Active since June 01, 2018CLIA 50D2151445 · Waiver
1625 5TH ST, CLARKSTON, WA 99403(509) 295-8398(509) 295-8416 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2022, Aug 17, 2020, Jan 2, 2019 (3 updates tracked since 2019).

About Snake River Adult Medicine Llc NPPES

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

SNAKE RIVER ADULT MEDICINE LLC (NPI 1548752918) is a healthcare organization registered as a primary care in Clarkston, Washington and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Clarkston, and lists Brian Francis Ciezki, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1548752918
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSNAKE RIVER ADULT MEDICINE LLC
Location Address1625 5TH STClarkston, WA 99403-3001
Mailing Address725 Diagonal StClarkston, WA 99403-2043 · (509) 295-8398 · Fax (509) 295-8416
Phone(509) 295-8398
Fax(509) 295-8416
Organization SubpartNo
Authorized OfficialBrian Francis CiezkiOwner/operator · (509) 295-8398
Enumeration DateJune 1, 2018
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1548752918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · 604282863
1625 5TH ST, Clarkston, WA 99403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1725 Diagonal StClarkston, WA 99403-2043 · Phone (509) 295-8398

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 of Waiver 50D2151445

Snake River Adult Medicine · Clarkston, WA
Active · expires Apr 4, 2028
CLIA Number50D2151445
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBrian F. Ciezki
Laboratory Phone(509) 295-8398
Laboratory LocationSnake River Adult Medicine725 Diagonal St, Clarkston, WA 99403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. DAVID B MARTIN M.D.
Family Medicine
1625 5TH ST
CLARKSTON, WA 99403
Asotin County (509) 751-9981
BRIAN FRANCIS CIEZKI ACNP
Nurse Practitioner (Adult Health)
1625 5TH ST
CLARKSTON, WA 99403
Asotin County (509) 295-8398
MARTIN FAMILY MEDICINE LLC
Family Medicine
1625 5TH ST
CLARKSTON, WA 99403
Asotin County (509) 751-9981

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 Snake River Adult Medicine LLC's NPI number?

The NPI number for Snake River Adult Medicine LLC is 1548752918. It was assigned to this organization in the NPPES registry on June 1, 2018.

Where is Snake River Adult Medicine LLC located?

Snake River Adult Medicine LLC is located at 1625 5th St, Clarkston, WA 99403. The listed phone number is (509) 295-8398.

What is Snake River Adult Medicine LLC's specialty?

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

Does Snake River Adult Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2151445) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Snake River Adult Medicine LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Snake River Adult Medicine LLC 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 Snake River Adult Medicine LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.