# LEWIS-CLARK STATE COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Student Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972900546
- **Authorized official:** MR. CHET HERBST (VP FOR FINANCE AND ADMINISTRATION)
- **Authorized official phone:** (208) 792-2240

## Contact information

- **Practice address:** 500 8TH AVE, SAM GLENN COMPLEX 205, LEWISTON, ID 83501-2691
- **Practice address phone:** (208) 792-2251
- **Practice address fax:** (208) 792-2882
- **Mailing address:** 500 8TH AVE, SAM GLENN COMPLEX 205, LEWISTON, ID 83501-2691
- **Mailing address phone:** (208) 792-2251
- **Mailing address fax:** (208) 792-2882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 11/26/2014