NORTH IDAHO RANCH RECOVERY CLINIC
NPI 1992179253
Substance Abuse Rehabilitation Facility in Coeur D Alene, ID

Q: What is North Idaho Ranch Recovery Clinic's NPI number?

The NPI number for North Idaho Ranch Recovery Clinic is 1992179253. It was assigned to this organization in the NPPES registry on November 23, 2015.

Q: What is North Idaho Ranch Recovery Clinic's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since November 23, 2015

4570 S STACH RD, COEUR D ALENE, ID 83814(208) 755-5200(805) 991-9866 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About North Idaho Ranch Recovery Clinic NPPES

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

NORTH IDAHO RANCH RECOVERY CLINIC (NPI 1992179253) is a healthcare organization registered as a substance abuse rehabilitation facility in Coeur D Alene, Idaho and active in the NPI registry since November 2015. The organization lists Michael Moore, Gmp, as its authorized official.

NPPES Registry Identity

NPI1992179253

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameNORTH IDAHO RANCH RECOVERY CLINIC

Location Address4570 S STACH RDCoeur D Alene, ID 83814-7955

Mailing Address4570 S Stach RdCoeur D Alene, ID 83814-7955 · (208) 755-5200 · Fax (805) 991-9866

Phone(208) 755-5200

Fax(805) 991-9866

Organization SubpartNo

Authorized OfficialMichael MooreGmp · (208) 755-5200

Enumeration DateNovember 23, 2015

✔ NPI 1992179253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

4570 S STACH RD, Coeur D Alene, ID 83814

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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 North Idaho Ranch Recovery Clinic's NPI number?

The NPI number for North Idaho Ranch Recovery Clinic is 1992179253. It was assigned to this organization in the NPPES registry on November 23, 2015.

Where is North Idaho Ranch Recovery Clinic located?

North Idaho Ranch Recovery Clinic is located at 4570 S Stach Rd, Coeur D Alene, ID 83814. The listed phone number is (208) 755-5200.

What is North Idaho Ranch Recovery Clinic's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for North Idaho Ranch Recovery Clinic was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.