Kootenai Urgent Care LLC
NPI #1407172059 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1407172059
- Entity Type
- Organization
- Organization Name
- Kootenai Urgent Care LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 7, 2010
- Last Updated
- Mar 22, 2012
Practice Location
- Address
- 566 W PRAIRIE AVE
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-7766
- Phone
- (208) 772-9110
Authorized Official
- Name
- ERIC KOELSCH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (208) 676-0145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Family Medicine |
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