Kootenai Urgent Care Llc
LBN: Kootenai Urgent Care Llc
Kootenai Urgent Care Llc is an health care organization with primary practice located at 1300 E Mullan Ave Suite 600, Post Falls ID 83854-6052. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Kootenai Urgent Care Llc can be contacted via phone (208) 777-9110, or through Koelsch, Eric via phone (208) 676-0145.
Contact Information
Primary practice address
1300 E Mullan Ave Suite 600
Post Falls ID 83854-6052
Phone: (208) 777-9110
Fax: (208) 777-1871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1629392154 |
|---|---|
| LBN Legal business name | Kootenai Urgent Care Llc |
| DBA Doing business as | |
| Authorized official | Koelsch, Eric |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 26th, 2010 |
| Last updated | Mar 22nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629392154 | NPPES |
| Idaho | Other | 1369049 | MEDICARE PART B PTAN |
| Idaho | Other | DQ3168 | MEDICARE PART B PTAN |
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