Organization
MICHAEL P KOELSCH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU KOELSCH (OFFICE MANAGER)
(208) 587-5880
Entity
Organization
Contact information
Practice address
805 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-5880
(208) 587-7905
Mailing address
PO BOX 940, MOUNTAIN HOME, ID 83647-0940
(208) 587-5880
(208) 587-7905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3819
ID
363LF0000X
Family Nurse Practitioner
NP382A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805234300
—
ID
01
—
8H732
BLUE CROSS GROUP
ID
Enumeration date
03/15/2007
Last updated
09/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us