National Provider Identifier Database

KOOTENAI HEALTH INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

KOOTENAI HEALTH, INC.
700 W IRONWOOD DR
COEUR D'ALENE, ID83814-2656
Phone: 208-625-5670
Fax: 208-625-5669
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for KOOTENAI HEALTH, INC.

NPI Number 1073835591
Legal business name
LBN
KOOTENAI HEALTH, INC.
Authorized official JON NESS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/25/2010
Last updated 01/05/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 1198LS
  • ID Medicaid: 1073835591
  • Other: 2124398 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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