LEWIS CLARK STATE COLLEGE; NPI #1649366477

Contact Information

LEWIS CLARK STATE COLLEGE

500 8TH AVE
SGC #42
LEWISTON, ID 83501-2691

Phone: 208-792-2251
Fax: 208-792-2882
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for LEWIS CLARK STATE COLLEGE

NPI # 1649366477

LBN Legal business name LEWIS CLARK STATE COLLEGE

Authorized official DENE THOMAS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/05/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

M6537

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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