| North Central District Health Department | |
|
215 10th St Lewiston ID 83501-1912 | |
| (208) 799-0349 | |
| Not Available |
| Full Name | North Central District Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 10th St, Lewiston, Idaho |
| Authorized Official Name and Position | Carol M Moehrle (DIRECTOR) |
| Authorized Official Contact | 2087993100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central District Health Department 215 10th St Lewiston ID 83501-1912 Ph: (208) 799-0349 | North Central District Health Department 215 10th St Lewiston ID 83501-1912 Ph: (208) 799-0349 |
| NPI Number | 1225057813 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1759445547 |
|---|---|
| Medicare Enrollment ID | O20090122000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225057813 | NPI | - | NPPES |
| 002472500 | Medicaid | ID | |
| 805022000 | Medicaid | ID | |
| 7025661 | Medicaid | WA | |
| 806173900 | Medicaid | ID | |
| 1013936541 | Other | ID | TRICARE |
| 7901309 | Medicaid | WA | |
| 600002216 | Other | ID | UNITED HEALTHCARE-RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Idaho) | Primary |
| 363L00000X | Nurse Practitioner | (Idaho) | Secondary |
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