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ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC
NPI 1952355539
Specialist in Post Falls, ID

Active since May 19, 2006CLIA Certified · 2 labs
849 N SYRINGA ST, POST FALLS, ID 83854(208) 777-1320(208) 777-1322 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Jun 22, 2023, Sep 3, 2020 and 1 more (4 updates tracked since 2019).

About St Josephs Ear Nose And Throat Clinic Pllc NPPES

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

ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC (NPI 1952355539) is a healthcare organization registered as a specialist in Post Falls, Idaho and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Coeur D Alene, and lists Thomas R Detar, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1952355539
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC
Location Address849 N SYRINGA STPost Falls, ID 83854-8794
Mailing Address849 N Syringa StPost Falls, ID 83854-8794 · (208) 777-1320 · Fax (208) 777-1322
Phone(208) 777-1320
Fax(208) 777-1322
Organization SubpartNo
Authorized OfficialThomas R DetarOwner/member · (208) 777-1320
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 6, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1952355539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
849 N SYRINGA ST, Post Falls, ID 83854
Open in Google Maps ↗

Secondary Practice Location 1

Location 12288 N Merritt Creek Loop Ste 100Coeur D Alene, ID 83814-4992 · Phone (208) 215-2284 · Fax (208) 215-2283

Other Identifiers 6

Other151513ID · Washington L&i
Other0000100006619ID · Regence/asuris
Medicaid7087273ID
Other8938054ID · Wa L&i Crime Victims
Medicaid805084300ID
Other8M012ID · Blue Cross Of Idaho

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 MULTIPLE 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 13D2143829

St Joseph's Ear Nose Throat & Allergy Clinic · Post Falls, ID
Active · expires Feb 5, 2028
CLIA Number13D2143829
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorChad D. Mccormick
Laboratory Phone(208) 777-1320
Laboratory LocationSt Joseph's Ear Nose Throat & Allergy Clinic849 N Syringa St, Post Falls, ID 83854
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2173910

St Joseph's Ear Nose Throat & Allergy Clinic · Coeur D'alene, ID
Active · expires Oct 21, 2027
CLIA Number13D2173910
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorChad D. Mccormick
Laboratory Phone(208) 215-2284
Laboratory LocationSt Joseph's Ear Nose Throat & Allergy Clinic2288 N Merritt Creek Loop Ste 100, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MALLORY L BRUNER
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320
PHILIP GARDNER MD
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320
LOGAN CAROLE DEMPSEY
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320
DR. CHAD D MCCORMICK MD
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320
DR. THOMAS R DETAR M.D., F.A.C.S.
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320
MARISA F RYAN
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320
DR. MICHAEL ERIK GILBERT M.D.
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Kootenai County (208) 777-1320

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 St Josephs Ear Nose And Throat Clinic PLLC's NPI number?

The NPI number for St Josephs Ear Nose And Throat Clinic PLLC is 1952355539. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is St Josephs Ear Nose And Throat Clinic PLLC located?

St Josephs Ear Nose And Throat Clinic PLLC is located at 849 N Syringa St, Post Falls, ID 83854. The listed phone number is (208) 777-1320.

What is St Josephs Ear Nose And Throat Clinic PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does St Josephs Ear Nose And Throat Clinic 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 St Josephs Ear Nose And Throat Clinic PLLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.