● 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
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
| Type | Value | Notes |
| 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
- 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.