# COMMUNITY HEALTHCARE OF THE PALOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346263308
- **Authorized official:** ROBERT NEAL SPADY MD (GENERAL PARTNER)
- **Authorized official phone:** (208) 892-1346

## Contact information

- **Practice address:** 619 S WASHINGTON ST, STE 203, MOSCOW, ID 83843-3090
- **Practice address phone:** (208) 892-1346
- **Practice address fax:** (208) 892-8306
- **Mailing address:** PO BOX 3509, COEUR D ALENE, ID 83816-2517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 10/10/2007