| Lewis Clark Gastroenterology Pllc | |
|
1630 23rd Ave Suite 701 Lewiston ID 83501-6350 | |
| (208) 298-3002 | |
| (208) 298-7433 |
| Full Name | Lewis Clark Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1630 23rd Ave, Lewiston, Idaho |
| Authorized Official Name and Position | Tamara Lynn Smith (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2082983002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Clark Gastroenterology Pllc 1630 23rd Ave Suite 701 Lewiston ID 83501-6350 Ph: (208) 298-3002 | Lewis Clark Gastroenterology Pllc 1630 23rd Ave Suite 701 Lewiston ID 83501-6350 Ph: (208) 298-3002 |
| NPI Number | 1356330922 |
|---|---|
| Provider Enumeration Date | 10/17/2005 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356330922 | NPI | - | NPPES |
| 806979100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Southway Internists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway, Suite C, Lewiston, ID 83501 Phone: 208-746-1333 Fax: 208-746-8090 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
Laennec Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5522 | |
Hni Medical Services Of Idaho, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 512-730-3056 Fax: 888-730-1925 | |
St. Joseph Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
River Horse Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway Ave Ste C, Lewiston, ID 83501 Phone: 208-792-1011 Fax: 208-616-1453 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 6th Street, Physician Services, Lewiston, ID 83501 Phone: 208-750-7462 |