Catalyst Medical Group, PLLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Lewiston, ID
NPI 1780440495 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1780440495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- CATALYST MEDICAL GROUP, PLLC
- Practice address
- 318 Warner Dr
Lewiston, ID 83501-4441 - Phone
- (208) 746-1383
- Fax
- (208) 298-4525
- NPI assigned
- Feb 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Karl E Sundberg
- Title
- Ceo
- Phone
- (208) 298-3100
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
318 Warner Dr
Lewiston, ID 83501-4441
Mailing address
2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 748-1383
Other providers in Lewiston, ID
- Dean Carpenter
- Kailey Marie Carpenter
- Stephanie Margaret Carpenter
- Lincoln Carter
- Catalyst Medical Group, PLLC
- Catalyst Medical Group, PLLC
- Catalyst Medical Group, PLLC
- Talmadge Clifford Caviness
- Christine Lynn Cearley
- Jennifer Chaffee
All providers in Lewiston, ID · Ambulatory Surgical Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.