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COEUR D'ALENE SURGICAL AND VEIN
NPI 1225368632
Clinic/Center - Medical Specialty in Coeur D Alene, ID

Active since January 06, 2010
608 NORTHWEST BLVD, SUITE 301, COEUR D ALENE, ID 83814(208) 664-4940(208) 664-5345 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coeur D'alene Surgical And Vein NPPES

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

COEUR D'ALENE SURGICAL AND VEIN (NPI 1225368632) is a healthcare organization registered as a medical specialty in Coeur D Alene, Idaho and active in the NPI registry since January 2010. The organization lists Kevin M Johnson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1225368632
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOEUR D'ALENE SURGICAL AND VEIN
Location Address608 NORTHWEST BLVD, SUITE 301Coeur D Alene, ID 83814-2174
Mailing Address608 Northwest Blvd, Suite 301Coeur D Alene, ID 83814-2174 · (208) 664-4940 · Fax (208) 664-5345
Phone(208) 664-4940
Fax(208) 664-5345
Organization SubpartNo
Authorized OfficialKevin M JohnsonManaging Member · (208) 664-4940
Enumeration DateJanuary 6, 2010
Last NPPES UpdateMarch 20, 2013
✔ NPI 1225368632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in ID · M-7963
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
608 NORTHWEST BLVD, Coeur D Alene, ID 83814
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASER AND VEIN CENTER PLLC
Surgery (Vascular Surgery)
608 NORTHWEST BLVD, SUITE 301
COEUR D ALENE, ID 83814
Kootenai County (208) 676-8346
LAKE CITY SURGEONS PLLC
Surgery
608 NORTHWEST BLVD, SUITE 301
COEUR D ALENE, ID 83814
Kootenai County (208) 664-4940
KEVIN M JOHNSON MD
Surgery
608 NORTHWEST BLVD, SUITE 301
COEUR D ALENE, ID 83814
Kootenai County (208) 676-8346
JOHN P LUNDEBY MD
Surgery
608 NORTHWEST BLVD, SUITE 301
COEUR D ALENE, ID 83814
Kootenai County (208) 664-4940

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 Coeur D'alene Surgical And Vein's NPI number?

The NPI number for Coeur D'alene Surgical And Vein is 1225368632. It was assigned to this organization in the NPPES registry on January 6, 2010.

Where is Coeur D'alene Surgical And Vein located?

Coeur D'alene Surgical And Vein is located at 608 Northwest Blvd Suite 301, Coeur D Alene, ID 83814. The listed phone number is (208) 664-4940.

What is Coeur D'alene Surgical And Vein's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Coeur D'alene Surgical And Vein was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.