RESTORED HORIZONS
NPI 1669572780
Family Medicine in Rathdrum, ID

Active since September 25, 2006
14775 N KIMO CT, SUITE B, RATHDRUM, ID 83858(208) 687-5627 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Restored Horizons NPPES

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

RESTORED HORIZONS (NPI 1669572780) is a healthcare organization registered as a family medicine in Rathdrum, Idaho and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Coeur D Alene and lists Michael Whiting, President, as its authorized official.

NPPES Registry Identity

NPI1669572780
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRATHDRUM CLINIC, INC.
Location Address14775 N KIMO CT, SUITE BRathdrum, ID 83858-8762
Mailing Address14775 N Kimo Ct, Suite BRathdrum, ID 83858-8762 · (208) 687-5627
Organization SubpartNo
Authorized OfficialMichael WhitingPresident · (208) 687-5627
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 18, 2019
✔ NPI 1669572780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M8126
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.
14775 N KIMO CT, Rathdrum, ID 83858

Other Names 1

Doing Business AsRestored Horizons

Secondary Practice Location 1

Location 1913 W Canfield AveCoeur D Alene, ID 83815-9764 · Phone (208) 687-5627

Other Identifiers 1

OtherDA0692ID · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restored Horizons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restored Horizons, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1598796708
913 W CANFIELD AVE
Coeur D Alene, ID 83815
(208) 819-7103
✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rathdrum Clinic, Inc.'s NPI number?

The NPI number for Rathdrum Clinic, Inc. is 1669572780. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Restored Horizons.

Where is Rathdrum Clinic, Inc. located?

Rathdrum Clinic, Inc. is located at 14775 N Kimo Ct Suite B, Rathdrum, ID 83858. The listed phone number is (208) 687-5627.

What is Rathdrum Clinic, Inc.'s specialty?

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

Is Rathdrum Clinic, Inc. enrolled in Medicare?

Yes. Rathdrum Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rathdrum Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rathdrum Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rathdrum Clinic, Inc. was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.