NPI 1033712781

Asc Northwest LLC

Organisation Ambulatory Surgical Clinic/Center Coeur D Alene, ID

Practice location

Address: 850 W Ironwood Dr STE B-101, Coeur D Alene, ID 83814-4903
Phone: (208) 667-1376

Authorised official

Name: Kellie Carter
Title: Practice Manager
Phone: (208) 667-1376

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1033712781
Entity type: Organization
NPI issued: 17 Nov 2020
Record last updated: 12 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.