1. Home
  2. Directory
  3. NPI Profile

NORTH IDAHO ENDOSCOPY CENTER PLLC
NPI 1154328763
Clinic/Center - Ambulatory Surgical in Coeurdalene, ID

Active since June 29, 2005
1607 LINCOLN WAY SUITE 100, COEURDALENE, ID 83814(208) 665-9184(208) 665-7964 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Idaho Endoscopy Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH IDAHO ENDOSCOPY CENTER PLLC (NPI 1154328763) is a healthcare organization registered as an ambulatory surgical in Coeurdalene, Idaho and active in the NPI registry since June 2005. The organization lists Gavin S Young, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154328763
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH IDAHO ENDOSCOPY CENTER PLLC
Location Address1607 LINCOLN WAY SUITE 100Coeurdalene, ID 83814-2476
Mailing Address1607 Lincoln Way Suite 100Coeurdalene, ID 83814-2476 · (208) 665-9184 · Fax (208) 665-7964
Phone(208) 665-9184
Fax(208) 665-7964
Organization SubpartNo
Authorized OfficialGavin S YoungMedical Director · (208) 665-9184
Enumeration DateJune 29, 2005
Last NPPES UpdateDecember 29, 2011
✔ NPI 1154328763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1607 LINCOLN WAY SUITE 100, Coeurdalene, ID 83814
Open in Google Maps ↗

Other Identifiers 6

Other23856ID · Group Health
Medicaid806363500ID
Other04358ID · Blue Cross
Other490005464ID · Rr Medicare
Other000010138610ID · Regence Blue Shield
Medicare ID-Type Unspecified1870473ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Idaho Endoscopy Center PLLC's NPI number?

The NPI number for North Idaho Endoscopy Center PLLC is 1154328763. It was assigned to this organization in the NPPES registry on June 29, 2005.

Where is North Idaho Endoscopy Center PLLC located?

North Idaho Endoscopy Center PLLC is located at 1607 Lincoln Way Suite 100, Coeurdalene, ID 83814. The listed phone number is (208) 665-9184.

What is North Idaho Endoscopy Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does North Idaho Endoscopy Center PLLC accept?

Health plans from Providence Health Plan list North Idaho Endoscopy Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Idaho Endoscopy Center PLLC was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.