P Praxis·MD
● Active Type 2 · Organization

Clearwater Medical Center Pllc

Nurse Practitioner·Lewiston, ID· NPI 1558452268 · Enumerated 2006 · 19 years on NPI
Clearwater Medical Center Pllc is 1 of 1280 nurse practitioner organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-27
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chavez
Owner Physician
Last NPPES update
2008-12-16
Source: monthly bulk 2026-05

How this organization compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1522 17th St
Lewiston, ID 835013652
📞 2087438416fax 2087434642
Mailing address
1522 17th St
Lewiston, ID 835013652
📞 2087438416fax 2087434642

Authorized official

Celso R Chavez, MD
Owner Physician
📞 2087438416

Individual providers at this organization

11 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP740AID license #NP751AID license #NP372AID license #NP388AID license #NP390A taxonomy 363LF0000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #A87025 taxonomy 207Q00000X

Other names on file (1)

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

  • Clearwater Medical Clinic
    Type code 3 recorded 2006-09-27

Practice context

Multi-provider organization. 11 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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