Lewis Clark Gastroenterology Pllc

LBN: Lewis Clark Gastroenterology Pllc
Lewis Clark Gastroenterology Pllc is an health care organization with primary practice located at 1630 23Rd Ave Suite 701, Lewiston ID 83501-6350. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Lewis Clark Gastroenterology Pllc can be contacted via phone (208) 298-3002, or through Smith, Tamara Lynn via phone (208) 298-3002.

Contact Information

Primary practice address
1630 23Rd Ave Suite 701 Lewiston ID 83501-6350
Phone: (208) 298-3002
Fax: (208) 298-7433
Website:
Map and Directions
Authorized official contact:
Name: Smith, Tamara Lynn Registered Nurse (RN)
Phone: (208) 298-3002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1356330922
LBN Legal business name Lewis Clark Gastroenterology Pllc
DBA Doing business as
Authorized official Smith, Tamara Lynn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2005
Last updated Oct 12th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356330922 NPPES
Idaho MEDICAID 806979100

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