Active NPI
PMR Healthcare
- Primary Care Clinic/Center
- Coeur d'Alene, ID
National Provider Identifier
1902660863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PMR HEALTHCARE
- Practice address
- 920 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2643 - Phone
- (317) 845-5974
- NPI assigned
- Feb 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph David Donadio, EMT-P
- Title
- Vice President of Operations
- Phone
- (317) 845-5974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
920 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2643
Mailing address
7399 N Shadeland Ave # 103
Indianapolis, IN 46250-2052
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2299885 | PMR Healthcare - Kootenai County Clinic | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- PMR Healthcare
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Boise, ID
- NPI 1316509656
-
- Primary Care Clinic/Center
- Bozeman, MT
- NPI 1235028374
-
- Primary Care Clinic/Center
- Lovelock, NV
- NPI 1467342741
-
- Primary Care Clinic/Center
- Franklin, IN
- NPI 1851092555
-
- Primary Care Clinic/Center
- Mount Vernon, IN
- NPI 1992523476
Locations
920 W Ironwood Dr
Ste 206
Coeur D Alene, ID 83814
Phone (317) 845-5974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1902660863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7399 N SHADELAND AVE # 103",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W IRONWOOD DR STE 206",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142643",
"telephone_number": "317-845-5974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMR HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "DONADIO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "317-845-5974",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.