# KOOTENAI HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902996887
- **Authorized official:** JON NESS (CEO)
- **Authorized official phone:** (208) 625-5081

## Contact information

- **Practice address:** 920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2463
- **Practice address phone:** (208) 667-6109
- **Practice address fax:** (208) 666-3088
- **Mailing address:** 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
- **Mailing address phone:** (208) 625-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 01/05/2024