KOOTENAI URGENT CARE LLC NPI 1407172059

NPI Information

KOOTENAI URGENT CARE LLC 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. KOOTENAI URGENT CARE LLC NPI is 1407172059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

566 W PRAIRIE AVE
COEUR D ALENE, ID
ZIP 83815-766
Phone: (208) 772-9110
Fax: (208) 772-0590

The provider's authorized official is Eric Koelsch .
The authorized official title is Executive Director and has the following contact phone number (208) 676-0145.

The CLIA number assigned to this NPI record is 13D2007769 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 3/22/2012.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.