Organization
NORTH IDAHO FAMILY PHYSICIANS, LLC
Active
Other names
After Hours Urgent Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KOELSCH (EXECUTIVE DIRECTOR)
(208) 676-0145
Entity
Organization
Contact information
Practice address
1300 E MULLAN AVE, SUITE 600, POST FALLS, ID 83854-6052
(208) 777-1157
Mailing address
700 W IRONWOOD DR, 272E, COEUR D ALENE, ID 83814-2656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG9013
RAILROAD MEDICARE
ID
Enumeration date
11/17/2006
Last updated
10/20/2009
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