North Idaho Medical Care Centers

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTH IDAHO MEDICAL CARE CENTERS

Practice address

1701 Lincoln Way
Coeur D Alene, ID 83814-2537

Phone

(208) 667-9110

Fax

(208) 667-0125

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Shannon K Harris

Title

Business Director

Phone

(208) 664-3313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1548414733",
    "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",
            "fax_number": "208-664-2793"
        },
        {
            "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",
            "fax_number": "208-667-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO MEDICAL CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "208-664-3313",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Idaho Family Physicians, LLC
• North Idaho Hand Rehabilitation, PLLC
• North Idaho Home Health
• North Idaho Imaging Center
• North Idaho Lung, Asthma and Critical Care, LLC.
• North Idaho Medical Care Centers PLLC
• North Idaho Mental Health Assoc
• North Idaho Mobile OT
• North Idaho MRI
• North Idaho Pain Center LLC

• General Practice Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.