Beacon Clinic
LBN: Beacon Cancer Care Pllc
Beacon Clinic is an health care organization with primary practice located at 3815 N Schreiber Way Ste 101 , Coeur D Alene ID 83815-8362. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Oncology, Ambulatory Health Care Facilities / Oncology, Radiation, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Beacon Cancer Care Pllc can be contacted via phone (208) 755-2804, or through Bartels, David Cadwell via phone (208) 775-2804.
Contact Information
Primary practice address
3815 N Schreiber Way Ste 101
Coeur D Alene ID 83815-8362
Phone: (208) 755-2804
Fax: (208) 765-0277
Website:
Authorized official contact:
Name: Bartels, David Cadwell Doctor of Osteopathy (DO)
Phone: (208) 775-2804
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Oncology | 261QX0200X | ||
| Ambulatory Health Care Facilities / Oncology, Radiation | 261QX0203X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1407335367 |
|---|---|
| LBN Legal business name | Beacon Cancer Care Pllc |
| DBA Doing business as | Beacon Clinic |
| Authorized official | Bartels, David Cadwell Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2018 |
| Last updated | Aug 25th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407335367 | NPPES |
| Idaho | MEDICAID | 1407335367 | |
| Idaho | MEDICAID | 2107483 |
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