P Praxis·MD
● Active Type 2 · Organization

Tri-State Memorial Hospital

Clinic/Center·Lewiston, ID· NPI 1386690907 · Enumerated 2006 · 20 years on NPI
Tri-State Memorial Hospital is 1 of 46 clinic/center organizations in Idaho.
NPI age
20 years
Enumerated 2006-05-25
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Town
Cfo
Last NPPES update
2009-08-04
Source: monthly bulk 2026-05

How this organization compares

Across 46 active clinic/center providers in Idaho.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
730 21st St
Lewiston, ID 835013323
📞 2087468280fax 2087468285
Mailing address
1221 Highland Ave., Po Box 189
Clarkston, WA 98940
📞 5097585511fax 5097519406

Authorized official

Alex C. Town
Cfo
📞 5097584667

Specialties

  • Clinic/Center Primary
    Definition to come...
    WA license #H-108 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (ID) 003110900
05 (WA) 3308004

Other names on file (1)

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

  • Tri State Dialysis Center
    Type code 4 recorded 2009-06-17

Practice context

Single-site organization. Only one practice location on file.

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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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