NPIMap

Organization Active NPI

Lewis Clark State College

  • Student Health Clinic/Center
  • Lewiston, ID
National Provider Identifier
1649366477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
M6537 Issued in ID
Legal business name
LEWIS CLARK STATE COLLEGE
Practice address
500 8TH Ave
SGC #42
Lewiston, ID 83501-2691
Phone
(208) 792-2251
Fax
(208) 792-2882
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dene Kay Thomas, PHD
Title
President
Phone
(208) 792-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X M6537 ID Primary

Addresses

Primary practice location

500 8TH Ave
SGC #42
Lewiston, ID 83501-2691

Mailing address

500 8TH Ave
Adm 207
Lewiston, ID 83501-2691
Phone (208) 792-2216

Other names 1

  • LCSC Other name

National Provider Directory

National Provider Directory
Tax ID family
LCSC2 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.

Locations

500 8th Ave
#207
Lewiston, ID 83501

500 8th Ave
#42
Lewiston, ID 83501
Phone (208) 792-2251

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649366477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "address_2": "ADM 207",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012691",
            "telephone_number": "208-792-2216",
            "fax_number": "208-792-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "address_2": "SGC #42",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012691",
            "telephone_number": "208-792-2251",
            "fax_number": "208-792-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CLARK STATE COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DENE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-792-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "ID",
            "license": "M6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.