Organization · Type 2 NPI
5 Codes PC
Medical Specialty Clinic/Center · Coeur D Alene, ID
Practice location
1831 N Lakewood Dr Ste 1
Coeur D Alene, ID 83814-2669
Fax (208) 215-7199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Other medical specialty clinic/center providers in Coeur D Alene
About NPI 1114845526
5 Codes PC's National Provider Identifier is 1114845526, issued on Jul 6, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 6, 2026.