KOOTENAI HEALTH NPI 1205113784

NPI Information

NPI: 1205113784
Provider Name: KOOTENAI HEALTH

Other Name: HEART CLINICS OREGON

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 666-2000
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KOOTENAI HEALTH is a cardiovascular disease internal medicine in Coeur D Alene, ID. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KOOTENAI HEALTH NPI is 1205113784. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Heart Clinics Oregon.

The provider's business location address is:

2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID
ZIP 83814-051
Phone: (208) 666-2000
Fax: (208) 666-3963

The provider's authorized official is Jon D Ness .
The authorized official title is Ceo and has the following contact phone number (208) 625-4000.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 3/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	42	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42	OTHER	IDAHO	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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