Nicholas G Phillips
TRI-STATE MEMORIAL HOSPITAL


Address: 302 5th St, Suite 3, Clarkston, WA 99403-1801
Phone: 5097692211

Nicholas G Phillips (NPI# 1720406291, PAC ID# 5092933408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1720406291
PAC ID by PECOS 5092933408
Professional Enrollment ID I20190523001461
Full Name Nicholas G Phillips
Organization Legal Name TRI-STATE MEMORIAL HOSPITAL
Address 302 5th St
Suite 3
Clarkston
WA 99403-1801
Phone Number 5097692211
Gender M
Graduation Year 2014
Primary Specialty PSYCHIATRY
Group Practice PAC ID 4082502422
Number of Group Practice Members 41
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
501332 TRI-STATE MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
302 5th St, Suite 3, Clarkston, WA 99403-1801 5097692211 TRI-STATE MEMORIAL HOSPITAL
415 6th St, Lewiston, ID 83501-2431 2087432511 TRI-STATE MEMORIAL HOSPITAL

Organization Information

Organization Legal Name TRI-STATE MEMORIAL HOSPITAL
Physicians 44

Physicians with the same organization

Name Specialty Organization Address
Keith J Popovich Pulmonary Disease Tri-state Memorial Hospital 1267 Belmont Way, Clarkston, WA 99403-2844
Judith M Rooney Clinical Social Worker Tri-state Memorial Hospital 1522 17th St, Lewiston, ID 83501-3652
Tyler L Anderson Physician Assistant Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Richard L Zobell Urology Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
William W Wheeler General Surgery Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Claudia-denise Haivas Nephrology Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Doris E Ziegeldorf Nurse Practitioner Tri-state Memorial Hospital 1522 17th St, Lewiston, ID 83501-3652
Mark W Peterson Diagnostic Radiology Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Celso Chavez Family Medicine Tri-state Memorial Hospital 1522 17th St, Lewiston, ID 83501-3652
Christine L Norwood Nurse Practitioner Tri-state Memorial Hospital 1522 17th St, Lewiston, ID 83501-3652

Office Location

Street Address 302 5TH ST
SUITE 3
City CLARKSTON
State WA
Zip 99403-1801

Physicians in the same zip code

Name Specialty Organization Address
Mark T Eggleston Ophthalmology Eye Care Specialists Ps 500 Port Dr, Clarkston, WA 99403-1835
Chad R Bouterse Ophthalmology Eye Care Specialists Ps 500 Port Dr, Clarkston, WA 99403-1835
Marcia G Holthaus Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Allen M Ernster Family Medicine Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Ann M Ridinger Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Kristine G Kemp Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Teresa L Abel Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Cheryl L Rudd Physical Therapy Twin Rivers Physical Therapy, LLC 725 6th St, Suite 101, Clarkston, WA 99403-2006
Edward C Harkins Physical Therapy Twin Rivers Physical Therapy, LLC 725 6th St, Suite 101, Clarkston, WA 99403-2006
Timothy A Larson Physical Therapy Twin Rivers Physical Therapy, LLC 725 6th St, Suite 101, Clarkston, WA 99403-2006
Find all physicians in zip 99403

Competitor

Search similar physicians

City CLARKSTON
Zip Code 99403
Specialty PSYCHIATRY
City + Specialty CLARKSTON + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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