Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMINE PETRACCA
Active OrganizationCARMINE PETRACCA is a Health Service Clinic organization located in LEWISTON, Idaho. NPI 1649601006 is currently active in the NPPES registry. Verify at CMS.
Health Service Clinic · LEWISTON, ID
Registration Details
- NPI Number
- 1649601006
- Provider Type
- Organization
- NPI Issued
- Dec 10, 2013 (12.714705076809 yrs)
- Last Updated
- Dec 10, 2013
- License
-
ODP-634 (ID)
Practice Information
- Address
-
939 BRYDEN AVELEWISTON, ID, 835015057Browse ID providers · Browse ZIP 83501
- Phone
- 2087431761
- Fax
- 2087468042
- Primary Specialty
-
Health Service Clinic
261QH0100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.