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

Rathdrum Clinic, Inc

Organization Family Medicine Physician · NPI 1669572780

Rathdrum Clinic, Inc is a Family Medicine Physician in Rathdrum, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14775 N Kimo Ct Ste B
Rathdrum, ID 83858-8762
Phone: (208) 687-5627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 913 W Canfield Ave, Coeur D Alene, ID 83815-9764 — (208) 687-5627

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M8126 (ID)

Record details

NPI number1669572780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Whiting — President · (208) 687-5627
Other names Restored Horizons
NPI enumeratedSeptember 25, 2006
Last updated in NPPESMarch 18, 2019
Mailing address14775 N Kimo Ct, Suite B, Rathdrum, ID 83858-8762

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