Lewis-Clark State College

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

LEWIS-CLARK STATE COLLEGE

Practice address

500 8TH Ave
Sam Glenn Complex 205
Lewiston, ID 83501-2691

Phone

(208) 792-2251

Fax

(208) 792-2882

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Chet Herbst

Title

VP for Finance and Administration

Phone

(208) 792-2240

Specialties & licenses 1

Addresses

Other names 1

• Student Health Services Other name

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.

• Lewis Clark State College

  • Student Health Clinic/Center
  • Lewiston, ID
  • NPI 1649366477
  NPD tax ID

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1972900546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "address_2": "SAM GLENN COMPLEX 205",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012691",
            "telephone_number": "208-792-2251",
            "fax_number": "208-792-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "address_2": "SAM GLENN COMPLEX 205",
            "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": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "HERBST",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "VP FOR FINANCE AND ADMINISTRATION",
        "authorized_official_telephone_number": "208-792-2240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lewis Clark Gastroenterology PLLC
• Lewis Clark Imaging, LLC
• Lewis Clark Kidney Center LLC
• Lewis Clark State College
• Lewis-Clark Kidney Center LLC
• Chad Michael Lewis, N.P.
• Gay Adele Lewis, LPC 6339
• Jessica Anne Lewis, FNP-C
• Lewiston Center of Cascadia, LLC
• Lewiston Eye Clinic PA

• Student Health Clinic/Center in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Student Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.