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Organization

KOOTENAI HEALTH, INC.

Active
Parent organization
KOOTENAI HEALTH, INC.
Other names
Kootenai Medical Center NIBH Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
KOOTENAI HEALTH, INC.
Authorized official
JON NESS (CEO)
(208) 625-5081
Entity
Organization

Contact information

Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
42
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010018067
REGENCE BLUE SHIELD
ID
05
805712000
ID
01
83758
BLUE CROSS
ID
01
CG7380
RR MEDICARE
ID
01
E0997
BLUE CROSS
ID
Enumeration date
01/09/2007
Last updated
01/05/2024
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