Northern Idaho Advanced Care Hospital Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTHERN IDAHO ADVANCED CARE HOSPITAL INC

Doing business as

NIACH Physician Group

Practice address

600 N Cecil Rd
Post Falls, ID 83854-6200

Phone

(208) 262-2800

Fax

(208) 262-2813

NPI assigned

Jan 8, 2016

Last updated

Jun 28, 2023By 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

Denise Kann

Title

Vice President and Secretary

Phone

(972) 216-2299

Specialties & licenses 1

Addresses

Other names 1

• NIACH Physician Group Doing business as

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1508222480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434",
            "telephone_number": "972-216-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CECIL RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546200",
            "telephone_number": "208-262-2800",
            "fax_number": "208-262-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN IDAHO ADVANCED CARE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIACH Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NIACH Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Multi-Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.