Pullman Regional Hospital Clinic Network LLC

NPI #1205104593 in Moscow, Idaho

Provider Information

NPI Number
1205104593
Entity Type
Organization
Organization Name
Pullman Regional Hospital Clinic Network LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Dec 1, 2011
Last Updated
Jun 26, 2015

Practice Location

Address
1420 S BLAINE ST STE 5
City
Moscow
State
Idaho
ZIP Code
83843-3973
Phone
(208) 882-2247

Authorized Official

Name
GROVER 'PETE' C PETERS III
Title
CLINIC ADMINISTRATOR
Phone
(509) 332-6139

Specialties & Taxonomy Codes

Specialty
Pediatrics
Psychiatry & Neurology - PsychiatryPsychiatry
Clinic/Center - Rural HealthRural Health

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