NPIMap

Organization Active NPI

Public Hospital District #1-a of Whitman County

Doing business as Palouse Pediatrics

  • Rural Health Clinic/Center
  • Moscow, ID
National Provider Identifier
1750204129
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Doing business as
Palouse Pediatrics
Practice address
1420 S Blaine St Ste 5
Moscow, ID 83843-3973
Phone
(208) 882-2247
NPI assigned
Aug 3, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Matt Forge Ceo
Title
Ceo
Phone
(509) 336-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1420 S Blaine St Ste 5
Moscow, ID 83843-3973

Mailing address

1420 S Blaine St Ste 5
Moscow, ID 83843-3973
Phone (208) 882-2247

Other names 1

  • Palouse Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Hospital District 1a of Whitman County12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1750204129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S BLAINE ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433973",
            "telephone_number": "208-882-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S BLAINE ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433973",
            "telephone_number": "208-882-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "CEO",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "FORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-336-7300"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palouse Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 19, 2026; 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.