Organization
KOOTENAI HEALTH, INC.
Active
Parent organization
KOOTENAI HEALTH, INC.
Other names
Kootenai EKG 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
(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
2085R0202X
Diagnostic Radiology Physician
Primary
42
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142664
REGENCE BLUE SHIELD
ID
05
—
805712000
—
ID
01
—
83758
BLUE CROSS
ID
Enumeration date
03/12/2007
Last updated
01/05/2024
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