Moscow Family Medicine, PA – Multi-Specialty Clinic/Center, NPI 1609940501

Moscow Family Medicine, PA is a healthcare provider. based in Moscow, Idaho. specializing in Multi-Specialty Clinic/Center. The NPI Number for Moscow Family Medicine, PA is 1609940501

Main info

Organization
Inactive
Name
Moscow Family Medicine, PA
NPI
1609940501
Phone
(208) 882-2011
Address
623 S MAIN ST
Deactivation Date
31 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Moscow Family Medicine, PA

  • 623, South Main Street, Moscow, Latah County, Idaho, 83843, United States

    MOSCOW, ID 838432983

    Phone: (208) 882-2011

    Fax: (208) 883-1853

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83843)

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Reviews

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Frequently asked questions

What unique ID ties claims to Moscow Family Medicine, PA?
NPI 1609940501 is assigned to Moscow Family Medicine, PA under the national enumeration system.
What is the next step if Moscow Family Medicine, PA is inactive?
Treat inactive as a signal to verify Moscow Family Medicine, PA through official channels.
What field does Moscow Family Medicine, PA work in?
You can think of Moscow Family Medicine, PA as practicing within Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What location shows for Moscow Family Medicine, PA?
We surface Moscow, Idaho for Moscow Family Medicine, PA based on available NPPES addresses.
Is Moscow Family Medicine, PA a real provider?
This page reflects official NPPES data for NPI 1609940501. Always confirm identity and privileges with the practice and licensing boards.

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