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NPI 1922431360

OrganizationActive

Coeur D Alene Primary Care PLLC

NPI 1922431360 · Primary Care Clinic/Center · Coeur D Alene, ID

Provider details

NPI number: 1922431360
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Brandon Rice, Owner(208) 667-2600
License: PA-431 (ID)

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities
Physician Assistant363A00000XLicense PA-431 (ID)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

920 W Ironwood Dr Ste 200

Coeur D Alene, ID 83814-2643

Phone: (208) 667-2600

Fax: (208) 625-2051

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

920 W Ironwood Dr Ste 200

Coeur D Alene, ID 83814-2643

Other names (DBA / former)

Doing business as: Coeur D Alene Primary Care PLLC

Additional practice locations (1)

2065 W Riverstone Dr
Suite 203
Coeur D Alene, ID 83814-5699
Phone: (208) 215-2045
Fax: (208) 665-2600

Registry dates

Enumerated: 2013-08-20
Last updated: 2022-12-29
Certified: 2022-12-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Coeur D Alene Primary Care PLLC — NPI 1922431360, Coeur D Alene, ID | NPI Central