Bourget Health Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MTS-0416 Issued in WA

Legal business name

BOURGET HEALTH SERVICES

Doing business as

Paml/Aml

Practice address

700 W Ironwood Dr Ste 108
Coeur D Alene, ID 83814-2656

Phone

(208) 664-8249

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kurt Rogers

Title

Cfo

Phone

(509) 755-8903

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAML/AML Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bourget Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bourget Health Services Inc

  dba Pathology Associates Med Laboratories

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1023253374
  NPD tax ID
• Bourget Health Services, Inc

  dba Pathology Associates Medical Laboratories

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1679800056
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1497997720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2687",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202687",
            "telephone_number": "509-755-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 108",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "208-664-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURGET HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-755-8903"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS-0416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003284800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAML/AML",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Christopher Borton, COTA
• Rebecca Bosch, LCPC, QP, NCC, CRC
• Thor Stephen Bostrom, DC
• Randy Eugene Boswell, MA, ATC, LAT
• Michael Charles Botnick, MSW
• Kathryn Ann Bova, MSW
• Kami Bowcut, PA-C
• Brittney Jeen Bowen, FNP
• Taffie L Bowman, RN, BSN, MSN, ARNP
• Lauren A Boydston, MD

• Clinical Medical Laboratory in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Clinical Medical Laboratory in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.