P Praxis·MD
● Active Type 2 · Organization

Rathdrum Clinic, Inc.

Family Medicine·Rathdrum, ID· NPI 1669572780 · Enumerated 2006 · 19 years on NPI
Rathdrum Clinic, Inc. is 1 of 1691 family medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-25
Primary specialty
Family Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Whiting
President
Last NPPES update
2019-03-18
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
14775 N Kimo Ct, Suite B
Rathdrum, ID 838588762
📞 2086875627
Mailing address
14775 N Kimo Ct, Suite B
Rathdrum, ID 838588762
📞 2086875627

Additional practice locations

1 secondary location on file with NPPES.

Location 2
913 W Canfield Ave
Coeur D Alene, ID 838159764
📞 2086875627

Authorized official

Michael Whiting, MD
President
📞 2086875627

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M8126 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (ID) DA0692 RAILROAD MEDICARE

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Restored Horizons
    Type code 3 recorded 2019-03-18

Practice context

Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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