Northwest Clinical Services

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NORTHWEST CLINICAL SERVICES

Practice address

535 Pine St Ste 9
Potlatch, ID 83855-9700

Phone

(208) 875-1212

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wil Edwards, PHARMD

Title

Owner

Phone

(208) 875-1212

Specialties & licenses 2

Addresses

Tax ID family

Northwest Clinical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Clinical Services

  • Family Medicine Physician
  • Pullman, WA
  • NPI 1851902605
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Ora Edwards III, PHARMD

  • Pharmacist
  • Pullman, WA
  • NPI 1639249428
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1093576092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PINE ST STE 9",
            "city": "POTLATCH",
            "state": "ID",
            "postal_code": "838559700",
            "telephone_number": "208-875-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PINE ST STE 9",
            "city": "POTLATCH",
            "state": "ID",
            "postal_code": "838559700",
            "telephone_number": "208-875-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-875-1212",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Lawson DDS, PC (Potlatch Family Dental)
• Michael Clyde Graham, P.A.
• Gritman Medical Center Inc (Potlatch Clinic)
• Michael S. Hess, R.PH.
• Lindsay Ranaye Lisher
• Northwest Pharmacy Services Inc (Northwest Pharmacy)
• Northwest Pharmacy Services, Inc.
• Palouse Ridge Occupational Therapy PLLC
• Suzanne Paul, M.D.
• Potlatch Family Dental, PC

• Urgent Care Clinic/Center in Potlatch, ID
• Providers in Potlatch, ID by specialty
• Urgent Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.