Kootenai Outpatient Surgery

LBN: Kootenai Outpatient Surgery Cntr Llc
Kootenai Outpatient Surgery is an health care organization with primary practice located at 707 W Ironwood Dr , Coeur D Alene ID 83814-2772. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Kootenai Outpatient Surgery Cntr Llc can be contacted via phone (208) 625-6400, or through Torwirt, Shirley M via phone (208) 625-6428.

Contact Information

Primary practice address
707 W Ironwood Dr Coeur D Alene ID 83814-2772
Fax: (208) 625-6401
Website:
Authorized official contact:
Name: Torwirt, Shirley M CASC

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 307824 Idaho
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 307824 Idaho

Profile Details

NPI number 1740289024
LBN Legal business name Kootenai Outpatient Surgery Cntr Llc
DBA Doing business as Kootenai Outpatient Surgery
Authorized official Torwirt, Shirley M CASC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Apr 13th, 2022 - about 2 years 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 1740289024 NPPES
Idaho Other 000010029201 REGENCE BS
Idaho MEDICAID 805910000 REGENCE BS
Idaho Other 04069 REGENCE BS

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