KOOTENAI TRIBE OF IDAHO is a clinic center in Bonners Ferry, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KOOTENAI TRIBE OF IDAHO NPI is 1669594057. The provider is registered as an organization entity type.
The provider Other Name Is Kootenai Tribal Health Clinic.
The provider's business location address is:
100 CIRCLE DRIVE
BONNERS FERRY, ID
ZIP 83805-279
Phone: (208) 267-5223
Fax: (208) 267-8419
The provider's authorized official is Karen K Hanson .
The authorized official title is Health Clinic Director and has the following contact phone number (208) 267-5223.
The CLIA number assigned to this NPI record is 13D0885727 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/21/2010.