Kootenai Clinics Cancer Services Pharmacy
LBN: Kootenai Health, Inc.
Kootenai Clinics Cancer Services Pharmacy is an health care organization with primary practice located at 700 W Ironwood Dr , Coeur D Alene ID 83814-2656. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Kootenai Health, Inc. can be contacted via phone (208) 625-5670, or through Ness, Jon via phone (208) 625-5081.
Contact Information
Primary practice address
700 W Ironwood Dr
Coeur D Alene ID 83814-2656
Phone: (208) 625-5670
Fax: (208) 625-5669
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Clinic Pharmacy | 3336C0002X | 1198LS | Idaho |
Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
NPI number | 1073835591 |
---|---|
LBN Legal business name | Kootenai Health, Inc. |
DBA Doing business as | Kootenai Clinics Cancer Services Pharmacy |
Authorized official | Ness, Jon |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 25th, 2010 |
Last updated | Jan 5th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073835591 | NPPES |
Idaho | MEDICAID | 1073835591 | |
Idaho | Other | 2124398 |
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