institution
North Idaho Endoscopy Center Pllc
Ambulatory Surgical Clinic/Center in Coeurdalene, Idaho
NPI 1154328763

North Idaho Endoscopy Center Pllc is an Ambulatory Surgical Clinic/Center based in Coeurdalene, ID and is specialized in Ambulatory Surgical. North Idaho Endoscopy Center Pllc practices in Coeurdalene, ID. The NPI Number for North Idaho Endoscopy Center Pllc is 1154328763 and holds a License No. (Idaho).

The current practice location address for North Idaho Endoscopy Center Pllc is 1607 Lincoln Way Suite 100, Coeurdalene, ID and can be reached out via phone at 208-665-9184 and via fax at 208-665-7964.

Location: 1607 Lincoln Way Suite 100, Coeurdalene, ID, 83814-2476
institution
Provider Profile Details
NPI Number
1154328763
Provider Name
North Idaho Endoscopy Center Pllc
Credential
Provider Entity Type
Organization
Address
1607 Lincoln Way Suite 100, Coeurdalene, ID, 83814-2476
Phone Number
208-665-9184
Fax Number
208-665-7964
Provider Enumeration Date
06/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04358 01 ID BLUE CROSS
000010138610 01 ID REGENCE BLUE SHIELD
490005464 01 ID RR MEDICARE
806363500 05 ID
23856 01 ID GROUP HEALTH
institution
Provider Business Practice Location Address Details
Address
1607 Lincoln Way Suite 100
City
State
Zip
83814-2476
Phone Number
208-665-9184
Fax Number
208-665-7964
person
Provider Business Mailing Address Details
Address
1607 Lincoln Way Suite 100
City
State
Zip
83814-2476
Phone Number
208-665-9184
Fax Number
208-665-7964
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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