Palouse Pediatrics - Moscow – Rural Health Clinic/Center, NPI 1205104593

Palouse Pediatrics - Moscow is a healthcare provider. based in Pullman, Washington. specializing in Rural Health Clinic/Center. The organization holds a License No. 13-3860 (ID). The NPI Number for Palouse Pediatrics - Moscow is 1205104593

Main info

Organization
Name
Palouse Pediatrics - Moscow
NPI
1205104593
Phone
(509) 332-6139
Address
840 SE BISHOP BLVD STE 101
Authorized Official
GROVER 'PETE' C PETERS III CLINIC ADMINISTRATOR
Enumeration Date
1 December 2011
Last Update Date
26 June 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Palouse Pediatrics - Moscow

  • 840 SE BISHOP BLVD STE 101

    PULLMAN, WA 991635502

    Phone: (509) 332-6139

    Fax: (509) 332-6579

    Type: Mailing

  • 1420 S BLAINE ST STE 5

    MOSCOW, ID 838433973

    Phone: (208) 882-2247

    Fax: (509) 336-7482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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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)

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 99163)

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Reviews

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Frequently asked questions

What is the registry number for Palouse Pediatrics - Moscow?
The registry entry for Palouse Pediatrics - Moscow shows NPI 1205104593.
Is Palouse Pediatrics - Moscow's NPI status active today?
Active status means Palouse Pediatrics - Moscow's NPI record is not deactivated in the public file.
How should patients interpret Palouse Pediatrics - Moscow's specialty?
The extract shows Rural Health Clinic/Center for Palouse Pediatrics - Moscow. Clinical services aligned with this taxonomy classification.
Is Palouse Pediatrics - Moscow tied to Pullman, Washington?
If you are local to Pullman, Washington, Palouse Pediatrics - Moscow may be relevant to your search.
Can I export Palouse Pediatrics - Moscow's record?
You can download the official NPPES record; we summarize key fields for readability.

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