| Kootenai Urgent Care Llc | |
|
700 W Ironwood Dr Suite 170e Coeur D Alene ID 83814-2656 | |
| (208) 667-9110 | |
| (208) 676-1272 |
| Full Name | Kootenai Urgent Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Eric Koelsch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2086760145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kootenai Urgent Care Llc 700 W Ironwood Dr Suite 272e Coeur D Alene ID 83814-2656 Ph: (208) 676-0145 | Kootenai Urgent Care Llc 700 W Ironwood Dr Suite 170e Coeur D Alene ID 83814-2656 Ph: (208) 667-9110 |
| NPI Number | 1821312356 |
|---|---|
| Provider Enumeration Date | 03/26/2010 |
| Last Update Date | 03/22/2012 |
| Medicare PECOS PAC ID | 1052441946 |
|---|---|
| Medicare Enrollment ID | O20100621000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821312356 | NPI | - | NPPES |
| 1369049 | Other | ID | MEDICARE PART B PTAN |
| DQ3168 | Other | ID | RR MEDICARE |
| Provider Name | John D Crites |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912945742 PECOS PAC ID: 3779524103 Enrollment ID: I20050517000102 |
| Provider Name | Holly J Bassler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437103009 PECOS PAC ID: 3173535630 Enrollment ID: I20100217000456 |
| Provider Name | Christy L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457622078 PECOS PAC ID: 5597905042 Enrollment ID: I20130708000089 |
| Provider Name | Bradley Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326070665 PECOS PAC ID: 6103857073 Enrollment ID: I20160720000302 |
| Provider Name | Hollie Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871905562 PECOS PAC ID: 4385960194 Enrollment ID: I20170802003410 |
| Provider Name | Ramon A Issa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891748836 PECOS PAC ID: 9234104910 Enrollment ID: I20180711000474 |
| Provider Name | Meredith J Mcalpine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245694561 PECOS PAC ID: 0244573715 Enrollment ID: I20190801002785 |
| Provider Name | Kerri Ruddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174183578 PECOS PAC ID: 6608103254 Enrollment ID: I20190806001635 |
| Provider Name | Robin Marie Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033751078 PECOS PAC ID: 3870922560 Enrollment ID: I20200331003856 |
| Provider Name | Vadim Pustynovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518507086 PECOS PAC ID: 4789004409 Enrollment ID: I20210113002738 |
| Provider Name | Justin Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770112138 PECOS PAC ID: 8820410673 Enrollment ID: I20210722002308 |
| Provider Name | Christian Menard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306082037 PECOS PAC ID: 3577697853 Enrollment ID: I20220419002726 |
| Provider Name | John B Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770015471 PECOS PAC ID: 3072885383 Enrollment ID: I20220922002286 |
| Provider Name | Nicole E Bruey-pernell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386253714 PECOS PAC ID: 7416317318 Enrollment ID: I20230724000796 |
| Provider Name | Ryan Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861199721 PECOS PAC ID: 8123481900 Enrollment ID: I20230825003286 |
| Provider Name | Katherine Baugher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891012019 PECOS PAC ID: 2961644190 Enrollment ID: I20231012000483 |
| Provider Name | Llyn Zillich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417732587 PECOS PAC ID: 9234584004 Enrollment ID: I20231013002275 |
| Provider Name | Yendi Labelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043838634 PECOS PAC ID: 0244685873 Enrollment ID: I20231017000978 |
| Provider Name | Sheila Loman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223273 PECOS PAC ID: 4688006109 Enrollment ID: I20231107002498 |
| Provider Name | Larry Wellendorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790798593 PECOS PAC ID: 8325945496 Enrollment ID: I20240327003369 |
| Provider Name | Jesse Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629675699 PECOS PAC ID: 3870904600 Enrollment ID: I20241016003771 |
| Provider Name | Mindyn Jansson Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982434841 PECOS PAC ID: 7315488707 Enrollment ID: I20250228002242 |
| Provider Name | Kristy Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134749898 PECOS PAC ID: 4880011378 Enrollment ID: I20250324002681 |
Active Family Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 919 W Canfield Ave, Coeur D Alene, ID 83815 Phone: 208-758-0560 Fax: 208-762-5424 | |
Ironwood Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3815 N Schreiber Way Unit 102, Coeur D Alene, ID 83815 Phone: 208-667-4557 Fax: 208-765-2887 | |
North Idaho Endoscopy And Surgical Specialists, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3318 N Grandmill Ln, Coeur D Alene, ID 83814 Phone: 208-292-0445 Fax: 208-772-6514 | |
Cinch Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6190 N Sunshine St Ste E, Coeur D Alene, ID 83815 Phone: 208-691-4569 | |
Helping Hands Chiropractic And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W Neider Ave Unit 116, Coeur D Alene, ID 83815 Phone: 208-664-0444 Fax: 208-664-0446 | |
Perpetual Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1717 Lincoln Way Ste 108, Coeur D Alene, ID 83814 Phone: 208-480-6174 Fax: 208-601-6174 | |
Head Sport Em Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814 Phone: 208-512-4334 |