Organization
LEWIS-CLARK STATE COLLEGE
Active
Other names
Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHET HERBST (VP FOR FINANCE AND ADMINISTRATION)
(208) 792-2240
Entity
Organization
Contact information
Practice address
500 8TH AVE, SAM GLENN COMPLEX 205, LEWISTON, ID 83501-2691
(208) 792-2251
(208) 792-2882
Mailing address
500 8TH AVE, SAM GLENN COMPLEX 205, LEWISTON, ID 83501-2691
(208) 792-2251
(208) 792-2882
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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