National Provider Identifier Database

LEWIS CLARK STATE COLLEGE
Student Health


Contact Information

LEWIS CLARK STATE COLLEGE
500 8TH AVE
SGC #42
LEWISTON, ID83501-2691
Phone: 208-792-2251
Fax: 208-792-2882
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for LEWIS CLARK STATE COLLEGE

NPI Number 1649366477
Legal business name
LBN
LEWIS CLARK STATE COLLEGE
Authorized official DENE THOMAS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/05/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: M6537

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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