Organization · Type 2 NPI
North Idaho Pain Center LLC
Ambulatory Surgical Clinic/Center · Coeur D Alene, ID
NPI number
1104896422
Active
Practice location
1686 W Riverstone Dr Ste 2
Coeur D Alene, ID 83814-5779
Fax (208) 765-2903
Mailing address
1686 W Riverstone Dr, Ste 2
Coeur D Alene, ID 83814-5779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 13C0001058 (ID) |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Coeur D Alene
About NPI 1104896422
North Idaho Pain Center LLC's National Provider Identifier is 1104896422, issued on Jan 26, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 26, 2025.