SNAKE RIVER COMMUNITY CLINIC (NPI# 1003440082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003440082 |
| Entity Type | Organization |
| Organization Name | SNAKE RIVER COMMUNITY CLINIC |
| Practice Address |
215 10th St Lewiston ID 83501-1910 |
| Mailing Address |
Po Box 6 Lewiston ID 83501-0006 |
| Practice Telephone | 2087435899 |
| Practice Fax Number | 2087439130 |
| Mailing Telephone | 2087435899 |
| Mailing Fax Number | 2087439130 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | CHARLOTTE ASH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2087435899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers |
| Street Address |
215 10TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013936541 | Susan P Stutzman | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1881228781 | Connie Spears | Registered Nurse | 215 10th St, Lewiston, ID 83501-1910 | 2020-02-28 |
| 1508369745 | Kayla Sprenger | Health Educator | 215 10th St, Lewiston, ID 83501-1910 | 2018-03-14 |
| 1497258636 | Jennifer Weber | Health Educator | 215 10th St, Lewiston, ID 83501-1910 | 2018-03-14 |
| 1215177993 | North Central District Health Department | Public Health or Welfare | 215 10th St, Lewiston, ID 83501-1910 | 2009-02-20 |
| 1487776159 | Id Dept of Health & Welfare Cshp (hd2) | Pediatrics | 215 10th St, Lewiston, ID 83501-1910 | 2007-04-04 |
| 1841210820 | Patricia A Urquhart | Nurse Practitioner | 215 10th St, Lewiston, ID 83501 | 2006-07-20 |
| 1154341196 | Mona M Davis | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-20 |
| 1225057813 | North Central District Health Department | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1164441473 | Diana L Kottkey | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253748 | Elizabeth Ashley Miller | Registered Nurse | 2068 W Bella Ln, Nampa, ID 83651-4896 | 2020-07-30 |
| 1730646837 | Jennifer Lynn Stahlberg | Registered Nurse | 230 Morgan Dr, Mccall, ID 83638-5509 | 2019-02-25 |
| 1225204316 | Roberta Jean Truscott | Registered Nurse | 3774 N Sutters Way, Coeur D Alene, ID 83815-9140 | 2008-05-08 |
| 1508918236 | Elmer G Dodge Jr. | Registered Nurse | 9858 W State St, Star, ID 83669-5210 | 2007-01-16 |
| 1386243160 | Elizabeth Larsen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4598 | 2020-10-22 |
| 1649888710 | Nestor Hapayan | Registered Nurse | 260 2nd Ave E, Twin Falls, ID 83301-6242 | 2020-07-15 |
| 1174149264 | Anna Marie Garvin | Registered Nurse | 815 N 6th E, Mountain Home, ID 83647-2207 | 2020-06-24 |
| 1457976540 | Arlena Blick | Registered Nurse | 260 2nd Ave E, Twin Falls, ID 83301-6242 | 2020-06-15 |
| 1184197311 | Niculina Bistriceanu | Registered Nurse | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-01-10 |
| 1063934487 | Meeka J Bond | Registered Nurse | 1551 E Mullan Ave Bldg A Ste 200a, Post Falls, ID 83854 | 2017-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.