OrganizationActive
Beacon Cancer Care PLLC
NPI 1407335367 · Multi-Specialty Clinic/Center · Coeur D Alene, ID
Provider details
- NPI number
- 1407335367
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- David Bartels, Owner
Practice location
3815 N Schreiber Way Ste 101
Coeur D Alene, ID 83815-8362
Phone: (208) 755-2804
Fax: (208) 765-0277
Mailing address
3815 N Schreiber Way Ste 101
Coeur D Alene, ID 83815-8362
Registry dates
- Enumerated
- 2018-08-11
- Last updated
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.