Kootenai Mri

LBN: North Idaho Mri
Kootenai Mri is an health care organization with primary practice located at 825 W Ironwood Dr , Coeur D Alene ID 83814-2673. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. North Idaho Mri can be contacted via phone (208) 666-3119, or through Legel, Thomas J via phone (208) 666-2000.

Contact Information

Primary practice address
825 W Ironwood Dr Coeur D Alene ID 83814-2673
Phone: (208) 666-3119
Fax: (208) 666-3963
Website:
Map and Directions
Authorized official contact:
Name: Legel, Thomas J
Phone: (208) 666-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1265425029
LBN Legal business name North Idaho Mri
DBA Doing business as Kootenai Mri
Authorized official Legel, Thomas J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Dec 28th, 2009 - about 15 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 1265425029 NPPES
Idaho Other 000010138805 IDAHO MEDICAID
Idaho Other 84095 IDAHO MEDICAID
Idaho MEDICAID 002642800 IDAHO MEDICAID

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