KOOTENAI URGENT CARE LLC NPI 1629392154

NPI Information

KOOTENAI URGENT CARE LLC is a family medicine in Post Falls, 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 1629392154. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 E MULLAN AVE
SUITE 600
POST FALLS, ID
ZIP 83854-052
Phone: (208) 777-9110
Fax: (208) 777-1871

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 13D0522151 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/26/2010 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

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