Organization
KOOTENAI HEALTH, INC.
Active
Other names
Montana Clinic
Organization subpart
No
Provider details
NPI number
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) 666-2000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
42
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42
LICENSE
ID
Enumeration date
11/10/2011
Last updated
01/05/2024
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