Kootenai Medical Center Group

LBN: Kootenai Health, Inc.
Kootenai Medical Center Group is an health care organization with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Kootenai Health, Inc. can be contacted via phone (208) 625-4000, or through Ness, Jon via phone (208) 625-5081.

Contact Information

Primary practice address
2003 Kootenai Health Way Coeur D Alene ID 83814-6051
Phone: (208) 625-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ness, Jon
Phone: (208) 625-5081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 42 Idaho
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 42 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 42 Idaho
Allopathic & Osteopathic Physicians / Urology 208800000X 42 Idaho
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 42 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 42 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 42 Idaho

Profile Details

NPI number 1235288655
LBN Legal business name Kootenai Health, Inc.
DBA Doing business as Kootenai Medical Center Group
Authorized official Ness, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235288655 NPPES
Idaho Other 83758 BLUE CROSS
Idaho Other 000010004926 BLUE CROSS
Idaho MEDICAID 805712000 BLUE CROSS
Idaho Other CG7380 BLUE CROSS

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