Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kootenai Urgent Care LLC

Organization Family Medicine Physician · NPI 1407172059

Kootenai Urgent Care LLC is a Family Medicine Physician in Coeur D Alene, Idaho. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

566 W Prairie Ave
Coeur D Alene, ID 83815-7766
Phone: (208) 772-9110
Fax: (208) 772-0590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1407172059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Koelsch — Executive Director · (208) 676-0145
NPI enumeratedApril 7, 2010
Last updated in NPPESMarch 22, 2012
Mailing address700 W Ironwood Dr, Suite 272e, Coeur D Alene, ID 83814-2656

Other providers in Coeur D Alene