Organization
NORTH IDAHO MEDICAL CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON K HARRIS (BUSINESS DIRECTOR)
(208) 664-3313
Entity
Organization
Contact information
Practice address
1701 LINCOLN WAY, COEUR D ALENE, ID 83814-2537
(208) 667-9110
(208) 667-0125
Mailing address
927 E POLSTON AVE, STE 303, POST FALLS, ID 83854-9811
(208) 664-3313
(208) 664-2793
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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