| Apple Family Care Pllc | |
|
980 W Ironwood Dr Suite 201 Coeur D Alene ID 83814-2668 | |
| (208) 292-1315 | |
| (208) 765-0627 |
| Full Name | Apple Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 980 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Dana L Colbert (PHYSICIAN) |
| Authorized Official Contact | 2082921315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Family Care Pllc 980 W Ironwood Dr Suite 201 Coeur D Alene ID 83814-2668 Ph: (208) 292-1315 | Apple Family Care Pllc 980 W Ironwood Dr Suite 201 Coeur D Alene ID 83814-2668 Ph: (208) 292-1315 |
| NPI Number | 1255509410 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 4385722008 |
|---|---|
| Medicare Enrollment ID | O20080422000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255509410 | NPI | - | NPPES |
| 807948600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-313 (Idaho) | Primary |
| Provider Name | Dana L Colbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699879072 PECOS PAC ID: 1355334343 Enrollment ID: I20040406000507 |
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