OrganizationActive
Pullman Regional Hospital Clinic Network LLC
NPI 1205104593 · Rural Health Clinic/Center · Moscow, ID
Provider details
- NPI number
- 1205104593
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Grover 'Pete' Peters, Clinic Administrator(509) 332-6139
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
1420 S Blaine St Ste 5
Moscow, ID 83843-3973
Phone: (208) 882-2247
Fax: (509) 336-7482
Approximate (ZIP-level) locationGet directions
Mailing address
840 Se Bishop Blvd Ste 101
Pullman, WA 99163-5502
Other names (DBA / former)
- Doing business as
- Palouse Pediatrics - Moscow
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2015-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.