Snake River Pediatrics, PC
Snake River Pediatrics, PC is a healthcare organization registered as Rural Health Clinic/Center in Fruitland, ID, holding Type 2 (organization) NPI 1720489396 since 2014. The authorized official on file is Matthew Berria, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720489396 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Snake River Pediatrics, PC |
| Practice address | 1100 NW 12TH ST, Fruitland, ID, 83619 |
| Phone | 2084526556 |
| Fax | 5412166557 |
| Enumeration date | 2014-09-14 |
| Last updated in NPPES | 2023-08-16 |
Authorized official
| Name | Matthew Berria |
|---|---|
| Title | President |
| Phone | 2087404518 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Secondary | PA00913 | OR |
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Snake River Pediatrics, PC NPI: 1720489396 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 1100 NW 12TH ST, Fruitland, ID, 83619
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265437529 | Michelle Devoe | Individual | Pediatric Adolescent Medicine Physician | Fruitland, ID |
| 1982791810 | Matthew Berria | Individual | Physician Assistant | Fruitland, ID |
| 1902985740 | Sage Benintendi-Stringer | Individual | Physician Assistant | Fruitland, ID |
| 1235329707 | Chelsie Lewis | Individual | Family Nurse Practitioner | Fruitland, ID |
| 1982907747 | Mary James | Individual | Physician Assistant | Fruitland, ID |
| 1043517105 | Bradi Fritts | Individual | Clinical Social Worker | Fruitland, ID |
| 1700269792 | Snake River Pediatrics, PC | Organization | Rural Health Clinic/Center | Fruitland, ID |
| 1720458235 | Kailey Meskill | Individual | Physician Assistant | Fruitland, ID |
Verify this record
Cross-check NPI 1720489396 against the authoritative CMS record: view Snake River Pediatrics, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-16.