# NORTH IDAHO MEDICAL CARE CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548414733
- **Authorized official:** MS. SHANNON K HARRIS (BUSINESS DIRECTOR)
- **Authorized official phone:** (208) 664-3313

## Contact information

- **Practice address:** 1701 LINCOLN WAY, COEUR D ALENE, ID 83814-2537
- **Practice address phone:** (208) 667-9110
- **Practice address fax:** (208) 667-0125
- **Mailing address:** 927 E POLSTON AVE, STE 303, POST FALLS, ID 83854-9811
- **Mailing address phone:** (208) 664-3313
- **Mailing address fax:** (208) 664-2793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 11/14/2008