NPI 1548414733

North Idaho Medical Care Centers

Organisation General Practice Physician Coeur D Alene, ID

Practice location

Address: 1701 Lincoln Way, Coeur D Alene, ID 83814-2537
Phone: (208) 667-9110
Fax: (208) 667-0125
Mailing address: 927 E Polston Ave STE 303, Post Falls, ID 83854-9811

Authorised official

Name: Shannon K Harris
Title: Business Director
Phone: (208) 664-3313

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1548414733
Entity type: Organization
NPI issued: 14 Nov 2008
Record last updated: 14 Nov 2008

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.