NPI age
14 years
Enumerated 2011-12-01
● Active Type 2 · Organization
Pullman Regional Hospital Clinic Network Llc
Pullman Regional Hospital Clinic Network Llc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peters
Clinic Administrator
Last NPPES update
2015-06-26
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 29% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1420 S Blaine St Ste 5
Moscow, ID 838433973
Mailing address
840 Se Bishop Blvd Ste 101
Pullman, WA 991635502
Authorized official
Grover Pete C Peters
Clinic Administrator
📞 5093326139
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Psychiatry & NeurologyA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 13-3860 | CMS CERTIFICATION |
| 01 (ID) | 1369068 | MEDICARE PTAN |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Palouse Pediatrics - Moscow
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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