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Pullman Regional Hospital Clinic Network Llc
Rural Health Clinic/Center in Moscow, Idaho
NPI 1205104593

Pullman Regional Hospital Clinic Network Llc is a Rural Health Clinic/Center based in Pullman, ID and is specialized in Rural Health. Pullman Regional Hospital Clinic Network Llc practices in Moscow, ID. The NPI Number for Pullman Regional Hospital Clinic Network Llc is 1205104593 and holds a License No. (Idaho).

The current practice location address for Pullman Regional Hospital Clinic Network Llc is 1420 S Blaine St Ste 5, Moscow, ID and can be reached out via phone at 208-882-2247 and via fax at 509-336-7482. You can also correspond with Pullman Regional Hospital Clinic Network Llc through the mailing address at 840 SE BISHOP BLVD STE 101, PULLMAN, WA - 99163-5502 (mailing address contact number: 509-332-6139).

Location: 1420 S Blaine St Ste 5, Moscow, ID, 99163-5502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205104593
Provider Name
Pullman Regional Hospital Clinic Network Llc
Credential
Provider Entity Type
Organization
Address
1420 S Blaine St Ste 5, Moscow, ID, 99163-5502
Phone Number
208-882-2247
Fax Number
509-336-7482
Provider Enumeration Date
12/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13-3860 01 ID CMS CERTIFICATION
1369068 01 ID MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1420 S Blaine St Ste 5
City
Moscow
State
Idaho
Zip
83843-3973
Phone Number
208-882-2247
Fax Number
509-336-7482
person
Provider Business Mailing Address Details
Address
840 Se Bishop Blvd Ste 101
City
Pullman
State
Washington
Zip
99163-5502
Phone Number
509-332-6139
Fax Number
509-332-6579
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
13-3860 (Idaho)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
()
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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