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NORTH IDAHO MEDICAL CARE CENTERS PLLC NPI 1316038904


NPI Information

NPI: 1316038904
Provider Name: NORTH IDAHO MEDICAL CARE CENTERS PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D2070351

Address:
1701 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-9110
Get Directions

NORTH IDAHO MEDICAL CARE CENTERS PLLC is a family medicine in Coeur D Alene, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH IDAHO MEDICAL CARE CENTERS PLLC NPI is 1316038904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814-537
Phone: (208) 667-9110

The provider's authorized official is Thomas J Legel .
The authorized official title is Cfo and has the following contact phone number (208) 666-2000.

The CLIA number assigned to this NPI record is 13D2070351 - other - crisis preg ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15297190004MEDICARE NSCIDAHO
25297190003MEDICARE NSCIDAHO
31112918MEDICARE PINIDAHO
41112918OTHERIDAHOMEDICARE
51112918MEDICARE UPINIDAHO
6002606200MEDICAIDIDAHO
75297190001MEDICARE NSCIDAHO
85297190002MEDICARE NSCIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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