Palouse Pediatrics - Pullman – Rural Health Clinic/Center, NPI 1063646107

Palouse Pediatrics - Pullman is a healthcare provider. based in Pullman, Washington. specializing in Rural Health Clinic/Center. The organization holds a License No. 50-3922 (WA). The NPI Number for Palouse Pediatrics - Pullman is 1063646107

Main info

Organization
Name
Palouse Pediatrics - Pullman
NPI
1063646107
Phone
(509) 332-6139
Address
1205 SE PRO MALL BLVD STE 104
Authorized Official
STEVEN FEBUS CFO
Enumeration Date
4 May 2009
Last Update Date
20 September 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Palouse Pediatrics - Pullman

  • 1205 SE PRO MALL BLVD STE 104

    PULLMAN, WA 991635423

    Phone: (509) 332-6139

    Fax: (509) 332-6579

    Type: Location

  • Southeast Bishop Boulevard, Pullman, Whitman County, Washington, 99164, United States

    PULLMAN, WA 991635502

    Phone: (509) 332-6139

    Fax: (509) 332-6579

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 99163)

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Reviews

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Frequently asked questions

How do payers reference Palouse Pediatrics - Pullman?
For Palouse Pediatrics - Pullman, use NPI 1063646107 as the unique 10-digit identifier.
Is Palouse Pediatrics - Pullman shown as active in public data?
Registry records indicate Palouse Pediatrics - Pullman maintains an active NPI.
What expertise is attributed to Palouse Pediatrics - Pullman?
Palouse Pediatrics - Pullman's specialty line reads Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Palouse Pediatrics - Pullman?
Travel planning: use Pullman, Washington as the reference point for Palouse Pediatrics - Pullman, then confirm.
When was this NPI issued?
Enumeration for Palouse Pediatrics - Pullman is noted as May 4, 2009 where the registry provides it.

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