NIACH PHYSICIAN GROUP – NPI #1508222480
Clinic/Center

NIACH PHYSICIAN GROUP is an AHC clinic located in POST FALLS, ID. NPPES has assigned the NPI number 1508222480 to NIACH PHYSICIAN GROUP on January 08, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NIACH PHYSICIAN GROUP” is a dba name, the actual legal business name for this organization is NORTHERN IDAHO ADVANCED CARE HOSPITAL INC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 3 years ago on Jun 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NIACH PHYSICIAN GROUP below.

NPI Profile for
NORTHERN IDAHO ADVANCED CARE HOSPITAL INC

NPI Number
1508222480
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHERN IDAHO ADVANCED CARE HOSPITAL INC
Doing Business As (dba): NIACH PHYSICIAN GROUP
Primary location
600 N CECIL RD
POST FALLS, ID 83854-6200
Phone: (208) 262-2800 Fax: (208) 262-2813
Mailing address
1024 N GALLOWAY AVE STE 102
MESQUITE, TX 75149-2434
Phone: (972) 216-2299 Fax:
Organization Subpart
No
Authorized Official
DENISE KANN
VICE PRESIDENT AND SECRETARY
Phone: (972) 216-2299
Updated
Certification Date
Jun 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.