AN
ASC NORTHWEST LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
COEUR D ALENE, ID
Licensed since
2020
Rate
—
Federal identifiers
NPI registry number1033712781
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients373
Authorized official
NameKELLIE CARTER
TitlePRACTICE MANAGER
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