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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 Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KOOTENAI HEALTH, INC.

NPI Number 1073835591
LBN Legal business name KOOTENAI HEALTH, INC.
Authorized official JON NESS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2010
Last updated 01/05/2024 - About 2 years ago
Identifiers
ID License # 1198LS
ID Medicaid 1073835591
Other 2124398 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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