RESTORED HORIZONS
NPI 1538503693
Family Medicine - Addiction Medicine in Coeur D Alene, ID

NPI Status: Active since April 19, 2013

Contact Information

913 W CANFIELD AVE
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 819-7103
Fax: (208) 719-0050

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • Accepts Insurance
  • CLIA Number: 13D2167774
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-13-2025

About RESTORED HORIZONS

This page provides the complete NPI Profile along with additional information for Restored Horizons, a provider established in Coeur D Alene, Idaho operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1538503693 assigned on April 2013. The practitioner's primary taxonomy code is 207QA0401X with license number M8126 (ID). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Restored Horizons. The authorized official of this NPI record is Michael Whiting Md (Owner)

NPI
1538503693
Provider Legal Name
RATHDRUM CLINIC, INC.
Other Organization Name
RESTORED HORIZONS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
913 W CANFIELD AVE COEUR D ALENE, ID 83815
Location Phone
(208) 819-7103
Location Fax
(208) 719-0050
Mailing Address
913 W CANFIELD AVE COEUR D ALENE, ID 83815
Mailing Phone
(208) 819-7103
Mailing Fax
(208) 719-0050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2013
Last Update Date
08-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
M8126
License State
ID
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL WHITING MD

Authorized Official Title
OWNER
Authorized Official Phone
(208) 819-7103

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2167774
Facility Type
Physician Office
Certificate Effective Date
June 14, 2023
Certificate Expiration Date
June 13, 2025
Laboratory Director
MICHAEL D. WHITING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Restored Horizons to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RESTORED HORIZONS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538503693
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681006618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 0 + 6 + 6 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1538503693 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598796708DR. MICHAEL DAVID WHITING M.D.
Individual
Family Medicine913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 819-7103
1740680131 KIMBERLY MCDERMOTT FNP-BC
Individual
Nurse Practitioner (Family)913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 819-7103
1568695062MRS. LESLEY SUSANNE ROBERTS PA-C
Individual
Physician Assistant (Medical)913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 819-7103
1083670889MS. JANA M QUALLS FNP
Individual
Nurse Practitioner (Critical Care Medicine)913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 957-7808
1295420651MIND AND BODY RESTORED
Organization
Pain Medicine (Pain Medicine)913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 957-7808
1831677681 HOLLY E MURRAY FNP
Individual
Nurse Practitioner (Family)913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 819-7103
1336888478 DESIREE HART NP-BC
Individual
Nurse Practitioner913 W CANFIELD AVE
COEUR D ALENE, ID 83815
(208) 957-7808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538503693, enumerated in the NPI registry as an "organization" on April 19, 2013

The provider is located at 913 W Canfield Ave Coeur D Alene, Id 83815 and the phone number is (208) 819-7103

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D2167774 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 19, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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