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O'NEILL CLINIC P.A. NPI 1699932509


NPI Information

NPI: 1699932509
Provider Name: O'NEILL CLINIC, P.A.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1617 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-5000
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O'NEILL CLINIC, P.A. is a health service clinic center in Coeur D Alene, ID. O'NEILL CLINIC, P.A. NPI is 1699932509. The provider is registered as an organization entity type.

The provider's business location address is:

1617 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814-422
Phone: (208) 664-5000
Fax: (208) 667-8098

The provider's authorized official is Thomas Daniel O'neill .
The authorized official title is President and has the following contact phone number (208) 664-5000.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 9/18/2008.


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
1261QH0100XClinic/CenterHealth ServiceCHIA469IDAHOYes

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
11671726MEDICARE PINIDAHO
2T44485MEDICARE UPINIDAHO
3C4694OTHERIDAHOBLUE CROSS
431546OTHERIDAHOREGENCE BLUE SHIELD

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

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.