Lifehouse Healthcare | |
212 S 11th St Ste 1 Coeur D Alene ID 83814-4000 | |
(208) 243-9395 | |
(951) 466-2426 |
Full Name | Lifehouse Healthcare |
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Speciality | Clinic/Center |
Location | 212 S 11th St Ste 1, Coeur D Alene, Idaho |
Authorized Official Name and Position | Carlo R Orozco (SOLE MEMBER) |
Authorized Official Contact | 2082439395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifehouse Healthcare 212 S 11th St Ste 1 Coeur D Alene ID 83814-4000 Ph: (208) 667-3113 | Lifehouse Healthcare 212 S 11th St Ste 1 Coeur D Alene ID 83814-4000 Ph: (208) 243-9395 |
NPI Number | 1467142315 |
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Provider Enumeration Date | 05/12/2023 |
Last Update Date | 11/01/2023 |
Medicare PECOS PAC ID | 2062872625 |
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Medicare Enrollment ID | O20230714002054 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467142315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Laura Elaine Cartwright |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457664294 PECOS PAC ID: 7113173451 Enrollment ID: I20120802000070 |
Provider Name | Heather L King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164895371 PECOS PAC ID: 3274821525 Enrollment ID: I20161019001799 |
Provider Name | Kimberly Lynn Shelden |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083143382 PECOS PAC ID: 9638503733 Enrollment ID: I20191226000465 |
Provider Name | Carlo Roberto Orozco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386091676 PECOS PAC ID: 6608152921 Enrollment ID: I20201104001780 |
Provider Name | Amanda Diane Cipriani |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194120758 PECOS PAC ID: 8325386758 Enrollment ID: I20211214001316 |
Provider Name | Leila Richelle Hepp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356642672 PECOS PAC ID: 3779765839 Enrollment ID: I20230620000803 |
Provider Name | Brad Richard Smedley |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1356726145 PECOS PAC ID: 4688033822 Enrollment ID: I20240115000564 |
Provider Name | Teri Lee Schmehl |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639513567 PECOS PAC ID: 8224475306 Enrollment ID: I20240325003270 |
Provider Name | Sonja Marie Alberti |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861961435 PECOS PAC ID: 8022455120 Enrollment ID: I20240325003858 |
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