Kootenai Health, Inc.
Organization Active NPI Specialist · Coeur D Alene, ID
NPI 1902996887 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1902996887
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- KOOTENAI HEALTH, INC.
- Practice address
- 920 W Ironwood Dr
Coeur D Alene, ID 83814-2463 - Phone
- (208) 667-6109
- Fax
- (208) 666-3088
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Jon Ness
- Title
- Ceo
- Phone
- (208) 625-5081
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Kootenai Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
920 W Ironwood Dr
Coeur D Alene, ID 83814-2463
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.