| Organization Name: | NORTHERN IDAHO ADVANCED CARE HOSPITAL INC |
| NPI Number: | 1023079092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLAUDE DARBY BROCKETTE (CEO) |
| Mailing Address: | 600 N Cecil Rd Post Falls |
| State: | ID US |
| Postal Code: | 838546200 |
| Phone Number: | 2082622800 |
| Fax Number: | 2082622813 |
| NPI Enumeration Date: | 03/30/2006 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | 67 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |