ADAM J OLSCAMP MD PC — NPI 1063896546 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in COEUR D ALENE, ID)

CMS-1500 Box 24J / 33a • NPI

1063896546

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID, 83814-6190

✓ 9-Digit EDI 837 ZIP+4 (83814-6190)

Practice Phone & Referral Fax

(208) 457-4211

Fax: (208) 773-1473

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063896546 (ADAM J OLSCAMP MD PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063896546` (NPI-2 Organization / Facility)
Provider / Legal Name	ADAM J OLSCAMP MD PC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID, 83814-6190
Practice Telephone / Fax	Tel: (208) 457-4211 \| Fax: (208) 773-1473
Administrative Mailing Address	1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID, 83814-6190
Enumeration & Last Sync	Enumerated: 2015-07-15 \| CMS Record Updated: 2025-08-30
Authorized Official	ADAM OLSCAMP (W2 Managing Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID, 83814-6190

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADAM J OLSCAMP MD PC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207XS0106X` — Orthopaedic Surgery, Hand Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207XX0004X` — Orthopaedic Surgery, Foot and Ankle Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207XX0005X` — Orthopaedic Surgery, Sports Medicine Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`2251S0007X` — Physical Therapist, Sports Plain English: Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports	State: N/A \| License: `Verified` \| Primary: Secondary
`2251X0800X` — Physical Therapist, Orthopedic Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic	State: N/A \| License: `Verified` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ADAM J OLSCAMP MD PC (NPI #1063896546)