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

North Idaho Ranch Recovery Clinic

Organization Substance Abuse Rehabilitation Facility · NPI 1992179253

North Idaho Ranch Recovery Clinic is a Substance Abuse Rehabilitation Facility in Coeur D Alene, Idaho. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4570 S Stach Rd
Coeur D Alene, ID 83814-7955
Phone: (208) 755-5200
Fax: (805) 991-9866
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1992179253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Moore — Gmp · (208) 755-5200
NPI enumeratedNovember 23, 2015
Last updated in NPPESNovember 23, 2015
Mailing address4570 S Stach Rd, Coeur D Alene, ID 83814-7955