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KOOTENAI HEALTH INC. NPI 1316096738


NPI Information

NPI: 1316096738
Provider Name: KOOTENAI HEALTH, INC.

Doing Business As: KOOTENAI MEDICAL CENTER NIBH GROUP

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 625-4000
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KOOTENAI HEALTH, INC. is a counselor in Coeur D Alene, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. KOOTENAI HEALTH, INC. NPI is 1316096738. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kootenai Medical Center Nibh Group.

The provider's business location address is:

2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID
ZIP 83814-051
Phone: (208) 625-4000

The provider's authorized official is Jon Ness .
The authorized official title is Ceo and has the following contact phone number (208) 625-5081.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 1/5/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor42IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E0997OTHERIDAHOBLUE CROSS
283758OTHERIDAHOBLUE CROSS
3000010018067OTHERIDAHOREGENCE BLUE SHIELD
4805712000MEDICAIDIDAHO
5CG7380OTHERIDAHORR MEDICARE

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: 4/28/2024

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