Organization
KOOTENAI HEALTH, INC.
Active
Organization
KOOTENAI HEALTH, INC.
Active
Parent organization
KOOTENAI HEALTH, INC.
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
(208) 625-5731
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
42
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004925
REGENCE BLUE SHIELD
ID
01
—
01008
BLUE CROSS
ID
05
—
805183600
—
ID
Enumeration date
09/14/2006
Last updated
01/05/2024
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