NPI age
19 years
Enumerated 2006-12-04
● Active
Type 1 · Individual
Clyde Arthur Hanson, DO
Hanson is 1 of 5 emergency medicine providers in St Maries and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 59% — 40% of peers are multi-state
Subspecialties
0
51% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
622 W College Ave Ste 2
St Maries, ID 838611822
Mailing address
1593 E Polston Ave
Post Falls, ID 838545326
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805770200 | |
| 01 (ID) | 000010028719 | REGENCE BS IDAHO |
| 05 (WA) | 8434847 | |
| 01 (WA) | 141315 | WA LABOR & INDUSTRIES |
| 01 | 601415900 | DEEIOC |
| 01 (ID) | S3168 | BC OF ID |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.