RATHDRUM CLINIC INC. NPI 1538503693

NPI Information

RATHDRUM CLINIC, INC. is an addiction medicine family medicine in Coeur D Alene, ID. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. RATHDRUM CLINIC, INC. NPI is 1538503693. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Restored Horizons.

The provider's business location address is:

913 W CANFIELD AVE
COEUR D ALENE, ID
ZIP 83815-764
Phone: (208) 819-7103
Fax: (208) 719-0050

The provider's authorized official is Michael Whiting .
The authorized official title is Owner and has the following contact phone number (208) 819-7103.

The CLIA number assigned to this NPI record is 13D2167774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 8/10/2023.

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:

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