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COEUR D ALENE PRIMARY CARE PLLC NPI 1922431360


NPI Information

NPI: 1922431360
Provider Name: COEUR D ALENE PRIMARY CARE PLLC

Doing Business As: COEUR D ALENE PRIMARY CARE PLLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
920 W IRONWOOD DR STE 200
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-2600
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COEUR D ALENE PRIMARY CARE PLLC is a primary care clinic center in Coeur D Alene, ID. COEUR D ALENE PRIMARY CARE PLLC NPI is 1922431360. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coeur D Alene Primary Care Pllc.

The provider's business location address is:

920 W IRONWOOD DR STE 200
COEUR D ALENE, ID
ZIP 83814-643
Phone: (208) 667-2600
Fax: (208) 625-2051

The provider's authorized official is Brandon Rice .
The authorized official title is Owner and has the following contact phone number (208) 667-2600.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 12/29/2022.


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
1363A00000XPhysician AssistantPA-431IDAHONo
2261QP2300XClinic/CenterPrimary CareYes

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.