Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clearwater Medical Center PLLC

Organization Family Medicine Physician · NPI 1558452268

Clearwater Medical Center PLLC is a Family Medicine Physician in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
7
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1522 17th St
Lewiston, ID 83501-3652
Phone: (208) 743-8416
Fax: (208) 743-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP361A
Family Medicine Physician Taxonomy 207Q00000X · Licence A87025 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP740A (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP751A (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP372A (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP388A (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP390A (ID)

Record details

NPI number1558452268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Celso Chavez — Owner Physician · (208) 743-8416
Other names Clearwater Medical Clinic
NPI enumeratedSeptember 27, 2006
Last updated in NPPESDecember 16, 2008
Mailing address1522 17th St, Lewiston, ID 83501-3652

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