Kootenai Urgent Care LLC

NPI #1629392154 in Post Falls, Idaho

Provider Information

NPI Number: 1629392154
Entity Type: Organization
Organization Name: Kootenai Urgent Care LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 26, 2010
Last Updated: Mar 22, 2012

Practice Location

Address: 1300 E MULLAN AVE
Address 2: SUITE 600
City: Post Falls
State: Idaho
ZIP Code: 83854-6052
Phone: (208) 777-9110

Authorized Official

Name: ERIC KOELSCH
Title: EXECUTIVE DIRECTOR
Phone: (208) 676-0145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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