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COEUR D ALENE PRIMARY CARE PLLC
NPI 1922431360
Clinic/Center - Primary Care in Coeur D Alene, ID

Active since August 20, 2013CLIA Certified · 2 labs
920 W IRONWOOD DR STE 200, COEUR D ALENE, ID 83814(208) 667-2600(208) 625-2051 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Feb 10, 2020 (2 updates tracked since 2020).

About Coeur D Alene Primary Care Pllc NPPES

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

COEUR D ALENE PRIMARY CARE PLLC (NPI 1922431360) is a healthcare organization registered as a primary care in Coeur D Alene, Idaho and active in the NPI registry since August 2013. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Coeur D Alene, and lists Brandon Rice, Owner, as its authorized official.

NPPES Registry Identity

NPI1922431360
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOEUR D ALENE PRIMARY CARE PLLC
Location Address920 W IRONWOOD DR STE 200Coeur D Alene, ID 83814-2643
Mailing Address920 W Ironwood Dr Ste 200Coeur D Alene, ID 83814-2643 · (208) 667-2600 · Fax (208) 625-2051
Phone(208) 667-2600
Fax(208) 625-2051
Organization SubpartNo
Authorized OfficialBrandon RiceOwner · (208) 667-2600
Enumeration DateAugust 20, 2013
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1922431360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-431 (ID)
920 W IRONWOOD DR STE 200, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsCoeur D Alene Primary Care Pllc

Secondary Practice Location 1

Location 12065 W Riverstone Dr, Suite 203Coeur D Alene, ID 83814-5699 · Phone (208) 215-2045 · Fax (208) 665-2600

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

CLIA Laboratory Certificates CMS CLIA 2

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 13D2077897

Coeur D'alene Primary Care · Coeur D'alene, ID
Active · expires May 15, 2028
CLIA Number13D2077897
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorRobert J. Lakko
Laboratory Phone(208) 667-2600
Laboratory LocationCoeur D'alene Primary Care920 W Ironwood Dr #200, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2318659

Coeur D'alene Primary Care · Kellogg, ID
Active · expires Feb 13, 2027
CLIA Number13D2318659
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorRobert J. Lakko
Laboratory Phone(208) 667-2600
Laboratory LocationCoeur D'alene Primary Care100 Mckinley Ave, Kellogg, ID 83837
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SHARON K SMITH
Nurse Practitioner (Psychiatric/Mental Health)
920 W IRONWOOD DR STE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2600
SUZANNE MARIE DECKER APN
Nurse Practitioner
920 W IRONWOOD DR STE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2600
MR. ZACHARY DANIEL HARMAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
920 W IRONWOOD DR STE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2600
SARAH JESSY LORION MD
Family Medicine
920 W IRONWOOD DR STE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2600

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 Primary Care PLLC's NPI number?

The NPI number for Coeur D Alene Primary Care PLLC is 1922431360. It was assigned to this organization in the NPPES registry on August 20, 2013.

Where is Coeur D Alene Primary Care PLLC located?

Coeur D Alene Primary Care PLLC is located at 920 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814. The listed phone number is (208) 667-2600.

What is Coeur D Alene Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coeur D Alene Primary Care PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coeur D Alene Primary Care PLLC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.