Family Health Associates, P.a.
Organization Active NPI Family Medicine Physician · Coeur D Alene, ID
NPI 1922029636 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1922029636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FAMILY HEALTH ASSOCIATES, P.A.
- Practice address
- 914 W Ironwood Dr Ste 101
Coeur D Alene, ID 83814-4927 - Phone
- (208) 765-5922
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Bradley C Drury, M.D.
- Title
- President
- Phone
- (208) 765-5922
National Provider Directory
Locations
914 W Ironwood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 625-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
914 W Ironwood Dr Ste 101
Coeur D Alene, ID 83814-4927
Mailing address
914 W Ironwood Dr Ste 101
Coeur D Alene, ID 83814-4927
Phone (208) 765-5922
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002646100 | Medicaid | ID |
Other providers in Coeur D Alene, ID
- Lance William Fagan
- Kathleen Fairbanks
- Walter Raymond Fairfax
- Peter Faletto
- James Fallin
- Family Hearing Center of Idaho, LLC
- Family Medicine Coeur D'Alene, P.a.
- Family Practice by the Lake LLC
- Family Support Services
- Family Support Services of North Idaho
All providers in Coeur D Alene, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.