NPIMap

Organization Active NPI

Pullman Regional Hospital Clinic Network, LLC

Doing business as Palouse ENT

  • Otolaryngology Physician
  • Pullman, WA
National Provider Identifier
1710218839
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PULLMAN REGIONAL HOSPITAL CLINIC NETWORK, LLC
Doing business as
Palouse ENT
Practice address
825 SE Bishop Blvd
Suite 601
Pullman, WA 99163-5517
Phone
(509) 334-5876
Fax
(509) 332-8793
NPI assigned
Jan 29, 2010
Last updated
Jan 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Grover (Pete) C Peters III
Title
Clinic Administrator
Phone
(509) 336-7647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

825 SE Bishop Blvd
Suite 601
Pullman, WA 99163-5517

Mailing address

825 SE Bishop Blvd
Suite 601
Pullman, WA 99163-5517
Phone (509) 334-5876

Other names 1

  • Palouse ENT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1710218839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD",
            "address_2": "SUITE 601",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-334-5876",
            "fax_number": "509-332-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD",
            "address_2": "SUITE 601",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-334-5876",
            "fax_number": "509-332-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLMAN REGIONAL HOSPITAL CLINIC NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "GROVER (PETE)",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "509-336-7647",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palouse ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.