Tracey Koch is a Family Medicine in Sandpoint, Idaho. Tracey Koch practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracey Koch is 1295741239. The last update date is 2012-06-01.
Tracey Koch's current location address is 420 N Second Ave, Sandpoint, Idaho. You can contact this provider via phone number 2082652242 and fax number 2082658214. The mailing address for Tracey Koch is 420 N Second Ave, Sandpoint, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Koch |
|---|---|
| Address | 420 N Second Ave, Sandpoint, Idaho |
| Phone Number | 2082652242 |
| Fax Number | 2082658214 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1295741239 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
| Address | 420 N Second Ave |
|---|---|
| City | Sandpoint |
| State | Idaho (ID) |
| Post Code | 838641565 |
| Phone Number | 2082652242 |
| Fax Number | 2082658214 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | NP461A |
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Definition: 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 family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806191100 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tracey Koch by the Centers for Medicare & Medicaid Services?
The Tracey Koch has been issued the NPI (National Provider Identifier) 1295741239, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tracey Koch?
The Tracey Koch is physically situated at 420 N Second Ave, in the city of Sandpoint, state of ID, with the postal code 838641565.
What is Tracey Koch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracey Koch is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Tracey Koch receive its 1295741239 assignment from the Centers for Medicare & Medicaid Services?
The Tracey Koch was assigned its 1295741239 by the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the information related to Tracey Koch most recently updated or refreshed?
The details pertaining to the Tracey Koch, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-01.