Kootenai Urgent Care, LLC
NPI #1801147129 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1801147129
- Entity Type
- Organization
- Organization Name
- Kootenai Urgent Care, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 700 W IRONWOOD DR
- Address 2
- SUITE 202
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2656
- Phone
- (208) 292-2959
Authorized Official
- Name
- ERIC KOELSCH
- Title
- ADMINISTRATOR
- Phone
- (208) 620-3823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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