NPIMap

Organization Active NPI

Community Healthcare of the Palouse

  • Family Medicine Physician
  • Moscow, ID
National Provider Identifier
1346263308
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HEALTHCARE OF THE PALOUSE
Practice address
619 S Washington St
Ste 203
Moscow, ID 83843-3090
Phone
(208) 892-1346
Fax
(208) 892-8306
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Robert Neal Spady, MDNPI 1053329490
Title
General Partner
Phone
(208) 892-1346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

619 S Washington St
Ste 203
Moscow, ID 83843-3090

Mailing address

PO Box 3509
Coeur D Alene, ID 83816-2517

Other identifiers 1

IdentifierTypeStateIssuer
1061589MedicaidWA

National Provider Directory

National Provider Directory

Locations

619 S Washington St
Ste 203
Moscow, ID 83843
Phone (208) 892-1346

1256 SE Bishop Blvd
Ste 1
Pullman, WA 99163
Phone (509) 332-6688

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1346263308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3509",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST",
            "address_2": "STE 203",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433090",
            "telephone_number": "208-892-1346",
            "fax_number": "208-892-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE OF THE PALOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SPADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "208-892-1346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1061589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.