NPI age
20 years
Enumerated 2005-06-29
● Active Type 2 · Organization
North Idaho Endoscopy Center Pllc
North Idaho Endoscopy Center Pllc 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
Young
Medical Director
Last NPPES update
2011-12-29
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 · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1607 Lincoln Way Suite 100
Coeurdalene, ID 838142476
Mailing address
1607 Lincoln Way Suite 100
Coeurdalene, ID 838142476
Authorized official
Gavin S Young, M.D.
Medical Director
📞 2086659184
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 04358 | BLUE CROSS |
| 01 (ID) | 000010138610 | REGENCE BLUE SHIELD |
| 01 (ID) | 490005464 | RR MEDICARE |
| 05 (ID) | 806363500 | |
| 01 (ID) | 23856 | GROUP HEALTH |
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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