PULLMAN REGIONAL HOSPITAL CLINIC NETWORK LLC is a rural health clinic center in Moscow, ID. PULLMAN REGIONAL HOSPITAL CLINIC NETWORK LLC NPI is 1205104593. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palouse Pediatrics - Moscow.
The provider's business location address is:
1420 S BLAINE ST STE 5
MOSCOW, ID
ZIP 83843-973
Phone: (208) 882-2247
Fax: (509) 336-7482
The provider's authorized official is Grover 'pete' C Peters .
The authorized official title is Clinic Administrator and has the following contact phone number (509) 332-6139.
The CLIA number assigned to this NPI record is 13D2033642 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/1/2011 and was last updated on 6/26/2015.