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

Restoration Woundcare Medical Group, PA

Organization General Practice Physician · NPI 1255176061

Restoration Woundcare Medical Group, PA is a General Practice Physician in Coeur D Alene, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2139 N Main St
Coeur D Alene, ID 83814-5768
Phone: (208) 930-1000
Fax: (877) 376-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1255176061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jana Hull — Chief Administrative Officer · (208) 930-1000
NPI enumeratedJune 25, 2024
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address2139 N Main St, Coeur D Alene, ID 83814-5768

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