National Provider Identifier Database

NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Public Health, State or Local


Contact Information

NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
215 10TH ST
LEWISTON, ID83501-1912
Phone: 208-799-0349
Fax:
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for NORTH CENTRAL DISTRICT HEALTH DEPARTMENT

NPI Number 1225057813
Legal business name
LBN
NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Authorized official CAROL MOEHRLE - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 002472500
  • ID Medicaid: 805022000
  • ID Medicaid: 806173900
  • WA Medicaid: 7025661
  • WA Medicaid: 7901309
  • ID Other: 1013936541 TRICARE
  • ID Other: 600002216 UNITED HEALTHCARE-RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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