North Idaho Medical Care Centers PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH IDAHO MEDICAL CARE CENTERS PLLC

Practice address

1701 Lincoln Way
Coeur D Alene, ID 83814-2537

Phone

(208) 667-9110

NPI assigned

Sep 27, 2006

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas J Legel

Title

Cfo

Phone

(208) 666-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1316038904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E POLSTON AVE",
            "address_2": "STE 303",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549811",
            "telephone_number": "208-664-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142537",
            "telephone_number": "208-667-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO MEDICAL CARE CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "LEGEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-666-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002606200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1112918",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Idaho Hand Rehabilitation, PLLC
• North Idaho Home Health
• North Idaho Imaging Center (Kootenai Outpatient Imaging)
• North Idaho Lung, Asthma and Critical Care, LLC.
• North Idaho Medical Care Centers
• North Idaho Mental Health Assoc
• North Idaho Mobile OT
• North Idaho MRI (Kootenai MRI)
• North Idaho Pain Center LLC
• North Idaho Psychiatry LLC

• Family Medicine Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.