Walter Raymond Fairfax in Coeur D Alene - Critical Care Medicine
Walter Raymond Fairfax - NPI 1124170170
Walter Raymond Fairfax is a Critical Care Medicine in Coeur D Alene, Idaho. Walter Raymond Fairfax practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Walter Raymond Fairfax is 1124170170. The last update date is 2020-10-06.
Walter Raymond Fairfax's current location address is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can contact this provider via phone number 2086254000. The mailing address for Walter Raymond Fairfax is 2003 Kootenai Health Way, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Raymond Fairfax |
|---|---|
| Address | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
| Phone Number | 2086254000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124170170 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 2003 Kootenai Health Way |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838146051 |
| Phone Number | 2086254000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | M11477 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 105079600 | WY | MDCD PIN | |
| 11135 | MT | MDCD PIN | |
| 96870 | MT | BCBS PIN |
Post Comment/ Review Below
What is the unique identification code assigned to Walter Raymond Fairfax by the Centers for Medicare & Medicaid Services?
The Walter Raymond Fairfax has been issued the NPI (National Provider Identifier) 1124170170. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Walter Raymond Fairfax is located?
The Walter Raymond Fairfax is situated at the following address: 2003 Kootenai Health Way, Coeur D Alene, ID, 838146051.
What is Walter Raymond Fairfax's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walter Raymond Fairfax's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124170170 to Walter Raymond Fairfax?
The Walter Raymond Fairfax received its 1124170170 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date was the information regarding Walter Raymond Fairfax, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Walter Raymond Fairfax, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-06.