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Coeur D'Alene Surgical and Vein

Medical Specialty Clinic/Center in Coeur D Alene, ID · enumerated 2010 · authorized official Kevin Johnson, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225368632

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Registry record

Entity type Organization (Type 2)
Legal business name Coeur D'Alene Surgical and Vein
Practice address 608 Northwest Blvd, Suite 301, Coeur D Alene, ID, 83814
Phone (208) 664-4940
Fax (208) 664-5345
Enumeration date Jan 6, 2010
Last updated in NPPES Mar 20, 2013

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License M-7963 (ID) Primary

Authorized official

Name Kevin Johnson
Title Managing Member
Phone (208) 664-4940

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Coeur D'Alene Surgical and Vein located?
The practice location on file with NPPES is in Coeur D Alene, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-03-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-20.