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CANFIELD FAMILY MEDICAL GROUP LLC NPI 1407056237


NPI Information

NPI: 1407056237
Provider Name: CANFIELD FAMILY MEDICAL GROUP LLC

Doing Business As: CANFIELD FAMILY MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
700 W IRONWOOD DR
SUITE 234
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-4808
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CANFIELD FAMILY MEDICAL GROUP LLC is a specialist in Coeur D Alene, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CANFIELD FAMILY MEDICAL GROUP LLC NPI is 1407056237. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Canfield Family Medicine.

The provider's business location address is:

700 W IRONWOOD DR
SUITE 234
COEUR D ALENE, ID
ZIP 83814-656
Phone: (208) 765-4808
Fax: (208) 676-9824

The provider's authorized official is Janice Adele Lindstrom .
The authorized official title is Owner and has the following contact phone number (208) 765-4808.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.


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
1174400000XSpecialistM8963IDAHOYes

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
1E07503MEDICARE UPINIDAHO
21131561MEDICARE PINIDAHO

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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