NORTHERN IDAHO ADVANCED CARE HOSPITAL INC (NPI# 1023079092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023079092 |
| Entity Type | Organization |
| Organization Name | NORTHERN IDAHO ADVANCED CARE HOSPITAL INC |
| Practice Address |
600 N Cecil Rd Post Falls ID 83854-6200 |
| Mailing Address |
5 E River Park Place E #460 Fresno CA 93720-1560 |
| Practice Telephone | 2082622800 |
| Practice Fax Number | 5508922442 |
| Mailing Telephone | 5598922500 |
| Mailing Fax Number | 5508922442 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MR. CLINT T. FEGAN (VP/SECRETARY) |
| Authorized Official Telephone | 7175915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 67 | ID | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508222480 | Northern Idaho Advanced Care Hospital Inc | Clinic/Center | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2016-01-08 |
| Street Address |
600 N CECIL RD |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024089 | Andrew Yabusaki | Pharmacist | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2019-03-27 |
| 1508222480 | Northern Idaho Advanced Care Hospital Inc | Clinic/Center | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2016-01-08 |
| 1760816037 | North Idaho Rehabilitation Medicine, Pllc | Physical Medicine & Rehabilitation | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2013-08-22 |
| 1245674050 | Richard L Sheldon M D Professional Corporation | Internal Medicine | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2013-04-23 |
| 1922206242 | Tara A Parks | Pharmacist | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2007-07-08 |
| 1831397637 | Patricia Ann Provine | Occupational Therapist | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2007-07-03 |
| 1174669550 | Henry D Covelli | Internal Medicine | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2007-01-30 |
| 1871642959 | Marjorie L Hill | Nurse Practitioner | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2007-01-09 |
| 1295835817 | Vytas Peter Semogas | Radiology | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639514094 | Vibra Hospital of Boise LLC | Long Term Care Hospital | 6651 W Franklin Rd, Boise, ID 83709-0914 | 2013-04-30 |
| 1639211634 | St. Benedicts Family Medical Center | Long Term Care Hospital | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2007-02-13 |
| 1245371863 | St Lukes Regional Medical Center | Long Term Care Hospital | 895 N 6th E, Mtn Home, ID 83647-2207 | 2007-02-08 |
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on NORTHERN IDAHO ADVANCED CARE HOSPITAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.