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KOOTENAI OCCUPATIONAL MEDICINE
NPI 1801147129
Family Medicine in Coeur D Alene, ID

Active since September 26, 2012CLIA 13D2170375 · Waiver
700 W IRONWOOD DR, SUITE 202, COEUR D ALENE, ID 83814(208) 292-2959 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kootenai Occupational Medicine NPPES

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

KOOTENAI OCCUPATIONAL MEDICINE (NPI 1801147129) is a healthcare organization registered as a family medicine in Coeur D Alene, Idaho and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Eric Koelsch, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801147129
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOOTENAI URGENT CARE, LLC
Location Address700 W IRONWOOD DR, SUITE 202Coeur D Alene, ID 83814-2656
Mailing Address700 W Ironwood Dr, Suite 272eCoeur D Alene, ID 83814-2656
Phone(208) 292-2959
Organization SubpartNo
Authorized OfficialEric KoelschAdministrator · (208) 620-3823
Enumeration DateSeptember 26, 2012
✔ NPI 1801147129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
700 W IRONWOOD DR, Coeur D Alene, ID 83814
Open in Google Maps ↗

Other Names 1

Doing Business AsKootenai Occupational Medicine

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2170375

Kootenai Occupational Medicine · Coeur D'alene, ID
Active · expires Aug 8, 2027
CLIA Number13D2170375
Laboratory TypeHospital
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorLarry L. Wellendorf
Laboratory Phone(208) 625-3670
Laboratory LocationKootenai Occupational Medicine2236 N Merrit Creek Loop Ste A, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. THOMAS R RAU MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
DR. ROBERT C. FARR M.D.
Otolaryngology
700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
JAMIE LEE PARK PHARM.D.
Pharmacist
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5688
MANDI NORDHAGEN
Pharmacist (Ambulatory Care)
700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
TERENCE EARL NEFF MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
KOOTENAI AUDIOLOGY, LLC
Audiologist (Assistive Technology Supplier)
700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
KOOTENAI HEALTH, INC.
Pharmacy (Clinic Pharmacy)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
SPOKANE RADIATION ONCOLOGY ASSOCIATES P S
Radiology (Radiation Oncology)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 666-3800

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 1801147129. It was assigned to this organization in the NPPES registry on September 26, 2012. The provider is doing business as Kootenai Occupational Medicine.

Where is Kootenai Urgent Care, LLC located?

Kootenai Urgent Care, LLC is located at 700 W Ironwood Dr Suite 202, Coeur D Alene, ID 83814. The listed phone number is (208) 292-2959.

What is Kootenai Urgent Care, LLC's specialty?

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

Does Kootenai Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2170375) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 September 26, 2012. 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.