HomeNPI Verification

NPI Verification

National Provider Identifier: 1407335367

Beacon Cancer Care PLLC

Organization

Primary Specialty

Clinic/Center, Multi-Specialty

Code: 261QM1300X

All Specialties (10)

Internal Medicine, Hematology

Code: 207RH0000X

Internal Medicine, Hematology & Oncology

Code: 207RH0003X

Internal Medicine, Rheumatology

Code: 207RR0500X

Internal Medicine, Medical Oncology

Code: 207RX0202X

Code: 2085R0001X

Clinic/Center, Oncology

Code: 261QX0200X

Clinic/Center, Oncology, Radiation

Code: 261QX0203X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Clinic/Center, Multi-Specialty

Code: 261QM1300X

Primary

Practice Address

3815 N SCHREIBER WAY STE 101

COEUR D ALENE, ID 838158362

Phone: 208-755-2804

NPI Enumeration Date

August 11, 2018

NPI Number

1407335367

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry