RESTORED HORIZONS – NPI #1538503693
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

RESTORED HORIZONS is a provider located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1538503693 to RESTORED HORIZONS on April 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RESTORED HORIZONS” is a dba name, the actual legal business name for this organization is RATHDRUM CLINIC, INC.. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Aug 10, 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 RESTORED HORIZONS below.

NPI Profile for
RATHDRUM CLINIC, INC.

NPI Number
1538503693
Enumeration Date

(more than 13 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
RATHDRUM CLINIC, INC.
Doing Business As (dba): RESTORED HORIZONS
Primary location
913 W CANFIELD AVE
COEUR D'ALENE, ID 83815-9764
Phone: (208) 819-7103 Fax: (208) 719-0050
1 Other location(s):
913 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone: (208) 819-7103
Fax: (208) 763-3203
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL WHITING
OWNER
Phone: (208) 819-7103
Updated
Certification Date
Aug 10, 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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 ID M8126

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.