Coeur D'Alene Surgical And Vein

LBN: Coeur D'Alene Surgical And Vein
Coeur D'Alene Surgical And Vein is an health care organization with primary practice located at 608 Northwest Blvd Suite 301, Coeur D Alene ID 83814-2174. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Coeur D'Alene Surgical And Vein can be contacted via phone (208) 664-4940, or through Johnson, Kevin M via phone (208) 664-4940.

Contact Information

Primary practice address
608 Northwest Blvd Suite 301 Coeur D Alene ID 83814-2174
Phone: (208) 664-4940
Fax: (208) 664-5345
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kevin M Doctor of Medicine (MD)
Phone: (208) 664-4940

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X M-7963 Idaho

Profile Details

NPI number 1225368632
LBN Legal business name Coeur D'Alene Surgical And Vein
DBA Doing business as
Authorized official Johnson, Kevin M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2010
Last updated Mar 20th, 2013 - about 11 years ago

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.

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