Organization
SNAKE RIVER COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE ASH (EXECUTIVE DIRECTOR)
(208) 743-5899
Entity
Organization
Contact information
Practice address
215 10TH ST, LEWISTON, ID 83501-1910
(208) 743-5899
(208) 743-9130
Mailing address
PO BOX 6, LEWISTON, ID 83501-0006
(208) 743-5899
(208) 743-9130
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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