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NPI 1053584581
● Active Type 2 · Organization
Clearwater Valley Hospital & Clinics Inc
Physician Assistant · Orofino, ID · NPI 1053584581
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Enumerated 2008 · 18 years on NPI
Clearwater Valley Hospital & Clinics Inc is 1 of 1263 physician assistant organizations in Idaho.
NPI age
18 years
Enumerated 2008-04-04
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Meacham
Business Office Manager
Last NPPES update
2008-04-22
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2008 → 2026
2008-04 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
301 Cedar St
Orofino, ID 835449029
📞 2084764555 fax 2084765385
Mailing address
301 Cedar St
Orofino, ID 835449029
📞 2084764555 fax 2084765385
Authorized official
Linda Meacham
Business Office Manager
📞 2084768003
Individual providers at this organization
20 individual providers on file at this primary practice address.
Monte Beardin , MSPT
Physical Therapist
NPI 1902811789
Wendi Boyer , CRNA MNA
Nurse Anesthetist, Certified Registered
NPI 1538101050
Vanessa Brown , M.D.
Family Medicine
NPI 1295816502
Clayton Bunt , MD
Family Medicine
NPI 1578646345
Daniel Burton , OTR/L
Occupational Therapist
NPI 1891308201
Rana Cleary , CMA, RMA, PN
Technician
NPI 1750804209
Tammy Cochrane , FNP
Nurse Practitioner
NPI 1922414408
Peter Crecelius , MD
Family Medicine
NPI 1659376010
Shelly Frayser , MD
Emergency Medicine
NPI 1912068131
Suzanne Kangas , PA-C
Physician Assistant
NPI 1871912915
Rebecca Katzman , MD
Family Medicine
NPI 1679869325
Rachell Larsen , LD
Dietitian, Registered
NPI 1982028437
Julia Lienesch
Nurse Anesthetist, Certified Registered
NPI 1043623309
Ann Lima , MD
Family Medicine
NPI 1780978320
Ally Loveland , DO
Family Medicine
NPI 1780200592
John Lukens , MD
Family Medicine
NPI 1801089834
Kelly McGrath , MD
Family Medicine
NPI 1609871060
Albert Merritt , CRNA
Nurse Anesthetist, Certified Registered
NPI 1609992783
Trent Morgan , CRNA
Nurse Anesthetist, Certified Registered
NPI 1740306828
Brett Mumford , D.O.
Emergency Medicine
NPI 1164463113
Specialties
Physician Assistant
Primary
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
taxonomy 363A00000X
Identifiers
Type Value Notes
05 (ID)
805060800
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.