NORTH IDAHO RANCH RECOVERY CLINIC – NPI #1992179253
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

NORTH IDAHO RANCH RECOVERY CLINIC is a substance abuse rehabilitation facility located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1992179253 to NORTH IDAHO RANCH RECOVERY CLINIC on November 23, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 NORTH IDAHO RANCH RECOVERY CLINIC below.

NPI Profile for
NORTH IDAHO RANCH RECOVERY CLINIC

NPI Number
1992179253
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
NORTH IDAHO RANCH RECOVERY CLINIC
Primary location
4570 S STACH RD
COEUR D'ALENE, ID 83814-7955
Phone: (208) 755-5200 Fax: (805) 991-9866
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL MOORE
GMP
Phone: (208) 755-5200
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (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.