KOOTENAI MEDICAL CENTER


Address: 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone: 2086662000

KOOTENAI MEDICAL CENTER (NPI# 1780981902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780981902
Entity Type Organization
Organization Name KOOTENAI MEDICAL CENTER
Other Organization Name ADULT DAY PROGRAM
Practice Address 2003 Kootenai Health Way
Coeur D Alene
ID 83814-6051
Practice Telephone 2086662000
Practice Fax Number 2086663963
Mailing Telephone 2086662000
Mailing Fax Number 2086663963
Enumeration Date 2011-02-24
Last Update Date 2011-02-24
Authorized Official Name JON D NESS (CEO)
Authorized Official Telephone 2086662000
Authorized Official Credential CEO
Is Organization Subpart Y
Parent Organization Name KOOTENAI MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
42 ID Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID M8056472 05

Other Provider/Organization Names

Other Name Type Code
Adult Day Program Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598024978 Kootenai Medical Center General Acute Care Hospital 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2012-05-07
1578840054 Kootenai Medical Center Internal Medicine 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2011-11-10
1922385400 Kootenai Medical Center Internal Medicine 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2011-11-10
1437326980 Kootenai Medical Center Internal Medicine 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2008-05-14
1629249370 Kootenai Medical Center Physician Assistant 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2008-03-20
1205030293 Kootenai Medical Center General Acute Care Hospital 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-06-13

Office Location

Street Address 2003 KOOTENAI HEALTH WAY
City COEUR D ALENE
State ID
Zip Code 83814-6051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912909151 Pamela S Pomeroy Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2005-06-01
1104425149 Denise White Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2020-10-21
1992343487 Audrey Nordness Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-12-15
1881245017 Jackie Rae Fitting Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-29
1336790567 Shane Oliver Withers Jr. Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-29
1447800552 Keith Mccullough Physician Assistant 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-19
1568012102 Kaitlin Wendt Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-16
1215586862 Heather A Hamilton Social Worker 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-06
1205498193 Guy Hoenke Registered Nurse 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-07-01
1407417843 Maddison M Ray Dietitian, Registered 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255977914 Center Counseling, LLC Clinic/Center 140 Evans Ln, Chubbuck, ID 83202-1914 2019-11-18
1184866105 Sarah Care of Boise Clinic/Center 1655 Vinnell St, Boise, ID 83709-5138 2009-04-06
1881735041 Solaridy LLC Clinic/Center 312 E Franklin Rd, Meridian, ID 83642-2911 2007-02-09
1720128341 Savu Florentina Clinic/Center 1900 Cleveland St, Boise, ID 83705-3211 2007-02-06
1366844409 Alzheimer Dementia Center Clinic/Center 6121 Cleveland Blvd, Caldwell, ID 83607-5129 2014-09-19
1023433927 Circles of Caring Adult Day Health Foundation, Inc. Clinic/Center 225 E Palouse River Dr, Moscow, ID 83843-8915 2014-02-28
1083755896 Serenity Life Clinic/Center 312 E Franklin Rd, Meridian, ID 83642-2911 2007-02-12

Competitor

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City COEUR D ALENE
Zip Code 83814

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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