Organization
KOOTENAI HEALTH, INC.
Active
Other names
Kootenai Clinics Cancer Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JON NESS (CEO)
(208) 625-5081
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR, COEUR D ALENE, ID 83814-2656
(208) 625-5670
(208) 625-5669
Mailing address
700 W IRONWOOD DR, STE 228, COEUR D ALENE, ID 83814-2656
(208) 625-5670
(208) 625-5669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
1198LS
ID
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073835591
—
ID
01
—
2124398
PK
—
Enumeration date
02/25/2010
Last updated
01/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us