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KOOTENAI MEDICAL CENTER NPI 1437326980


NPI Information

NPI: 1437326980
Provider Name: KOOTENAI MEDICAL CENTER

Other Name: GENERIC ONCOLOGY GROUP

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2003 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 666-2000
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KOOTENAI MEDICAL CENTER is a hematology and oncology internal medicine in Coeur D Alene, ID. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. KOOTENAI MEDICAL CENTER NPI is 1437326980. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Generic Oncology Group.

The provider's business location address is:

2003 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814-611
Phone: (208) 666-2000
Fax: (208) 666-3963

The provider's authorized official is Melanie M. Michels .
The authorized official title is Patient Account Representative and has the following contact phone number (208) 666-2219.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


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
1207RH0003XInternal MedicineHematology & Oncology42IDAHOYes

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

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