NPI age
20 years
Enumerated 2006-01-26
● Active Type 2 · Organization
North Idaho Pain Center Llc
North Idaho Pain Center Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Botai
Practice Administrator
Last NPPES update
2025-06-26
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1686 W Riverstone Dr Ste 2
Coeur D Alene, ID 838145779
Mailing address
1686 W Riverstone Dr, Ste 2
Coeur D Alene, ID 838145779
Authorized official
Tina Marie Botai
Practice Administrator
📞 2087654807
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.