Organization
CLEARWATER VALLEY HOSPITAL & CLINICS INC
Active
Other names
Midlevel Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MEACHAM (BUSINESS OFFICE MANAGER)
(208) 476-8003
Entity
Organization
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Mailing address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805060800
—
ID
Enumeration date
04/04/2008
Last updated
04/22/2008
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