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Contact Information

NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
215 10TH ST
LEWISTON, ID83501-1912
 Phone: 208-799-0349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NORTH CENTRAL DISTRICT HEALTH DEPARTMENT

NPI Number 1225057813
LBN Legal business name NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Authorized official CAROL MOEHRLE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 07/21/2022 - About 4 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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