P Praxis·MD
● Active Type 2 · Organization

River Horse Medical Clinic

Clinic/Center·Lewiston, ID· NPI 1144057852 · Enumerated 2024 · 1 years on NPI
River Horse Medical Clinic is 1 of 104 clinic/center organizations in Idaho.
NPI age
1 years
Enumerated 2024-09-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grinage
Owner/ceo
Last NPPES update
2024-11-14
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
1 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
222 Southway Ave Ste C
Lewiston, ID 835012703
📞 2087921011fax 2086161453
Mailing address
Po Box 225
Lewiston, ID 835010225
📞 2087921011fax 2086161453

Authorized official

Jennifer Grinage, PA-C
Owner/ceo
📞 2087921011

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

Identifiers

TypeValueNotes
01 1396151395 PROVIDER NPI

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • River Horse Medical Clinic, Pllc
    Type code 3 recorded 2024-09-22
  • River Horse Medical Clinic, Pllc
    Type code 3 recorded 2024-09-10

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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