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BANK STREET CLINIC
NPI 1619142452
Family Medicine in Wallace, ID

Active since April 23, 2008
516 BANK ST, WALLACE, ID 83873(208) 752-3016(208) 753-1001 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bank Street Clinic NPPES

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

BANK STREET CLINIC (NPI 1619142452) is a healthcare organization registered as a family medicine in Wallace, Idaho and active in the NPI registry since April 2008. The organization lists Deborah Lois Elliott-pearson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619142452
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEB ELLIOTT-PEARSON M.D., P.C.
Location Address516 BANK STWallace, ID 83873-2225
Mailing Address516 Bank StWallace, ID 83873-2225 · (208) 752-3016 · Fax (208) 753-1001
Phone(208) 752-3016
Fax(208) 753-1001
Organization SubpartNo
Authorized OfficialDeborah Lois Elliott-pearsonCeo · (208) 752-3016
Enumeration DateApril 23, 2008
Last NPPES UpdateApril 29, 2008
✔ NPI 1619142452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M7469
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.
516 BANK ST, Wallace, ID 83873
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Other Names 1

Doing Business AsBank Street Clinic

Other Identifiers 4

Medicare UPING39437ID
Medicaid805230000ID
Medicare PIN1374405ID
Medicare PIN1881616639

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

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 Deb Elliott-Pearson M.D., P.C.'s NPI number?

The NPI number for Deb Elliott-Pearson M.D., P.C. is 1619142452. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider is doing business as Bank Street Clinic.

Where is Deb Elliott-Pearson M.D., P.C. located?

Deb Elliott-Pearson M.D., P.C. is located at 516 Bank St, Wallace, ID 83873. The listed phone number is (208) 752-3016.

What is Deb Elliott-Pearson M.D., P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Deb Elliott-Pearson M.D., P.C. was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.