KOOTENAI URGENT CARE LLC
NPI 1407172059
Family Medicine in Coeur D Alene, ID

Active since April 07, 2010
566 W PRAIRIE AVE, COEUR D ALENE, ID 83815(208) 772-9110(208) 772-0590 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kootenai Urgent Care Llc NPPES

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

KOOTENAI URGENT CARE LLC (NPI 1407172059) is a healthcare organization registered as a family medicine in Coeur D Alene, Idaho and active in the NPI registry since April 2010. The organization lists Eric Koelsch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407172059
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOOTENAI URGENT CARE LLC
Location Address566 W PRAIRIE AVECoeur D Alene, ID 83815-7766
Mailing Address700 W Ironwood Dr, Suite 272eCoeur D Alene, ID 83814-2656 · (208) 676-0102 · Fax (208) 676-0147
Fax(208) 772-0590
Organization SubpartNo
Authorized OfficialEric KoelschExecutive Director · (208) 676-0145
Enumeration DateApril 7, 2010
Last NPPES UpdateMarch 22, 2012
NPI 1407172059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
566 W PRAIRIE AVE, Coeur D Alene, ID 83815

Other Identifiers 3

Medicare NSC6396800003ID
OtherDQ3168ID · Railroad Medicare
Other1369049ID · Medicare Part B Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Family Medicine
566 W PRAIRIE AVE
COEUR D ALENE, ID 83815
Family Medicine
566 W PRAIRIE AVE
COEUR D ALENE, ID 83815
Obstetrics & Gynecology
566 W PRAIRIE AVE
COEUR D ALENE, ID 83815

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 Kootenai Urgent Care LLC's NPI number?

The NPI number for Kootenai Urgent Care LLC is 1407172059. It was assigned to this organization in the NPPES registry on April 7, 2010.

Where is Kootenai Urgent Care LLC located?

Kootenai Urgent Care LLC is located at 566 W Prairie Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 772-9110.

What is Kootenai Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Kootenai Urgent Care LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kootenai Urgent Care LLC 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 Kootenai Urgent Care LLC was last updated on March 22, 2012. 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.