KOOTENAI AUDIOLOGY, LLC


Address: 700 W Ironwood Dr, Suite 236, Coeur D Alene, ID 83814-2656
Phone: 2087651345

KOOTENAI AUDIOLOGY, LLC (NPI# 1073821542) 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) 1073821542
Entity Type Organization
Organization Name KOOTENAI AUDIOLOGY, LLC
Practice Address 700 W Ironwood Dr
Suite 236
Coeur D Alene
ID 83814-2656
Practice Telephone 2087651345
Practice Fax Number 2086679622
Mailing Telephone 2087651345
Mailing Fax Number 2086679622
Enumeration Date 2010-09-18
Last Update Date 2010-09-18
Authorized Official Name DR. ROBERT C FARR (OWNER)
Authorized Official Telephone 2087651345
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231HA2500X Audiologist
Specialization: Assistive Technology Supplier
Speech, Language and Hearing Service Providers

Office Location

Street Address 700 W IRONWOOD DR
SUITE 236
City COEUR D ALENE
State ID
Zip Code 83814-2656

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699771451 Ronald J Stout Otolaryngology 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 2005-06-24
1033635180 Jamie Lee Park Pharmacist 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 2017-08-21
1063944726 Mandi Nordhagen Pharmacist 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 2017-03-31
1679004675 Jamie Cervi-skinner Pharmacist 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 2017-03-22
1982144424 Carissa Hober Pharmacist 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 2017-03-02
1861939910 Kellie Kathryn Breaux Nurse Practitioner 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 2017-01-27
1902348709 Michael Watrobka Physician Assistant 700 W Ironwood Dr, Suite 120e, Coeur D Alene, ID 83814-2656 2016-11-09
1841748530 Elizabeth St John Physician Assistant 700 W Ironwood Dr, Ste 341, Coeur D Alene, ID 83814-2656 2016-09-12
1184076465 Craig Allred Audiologist 700 W Ironwood Dr, Ste 278, Coeur D Alene, ID 83814-2656 2016-07-11
1962869008 Natalie Jeane Bartell Nurse Practitioner 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 2016-01-20
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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 231HA2500X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist
Specialization Assistive Technology Supplier

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447382254 Robert Frank Schroeder Audiologist 2508 Addison Ave E, Twin Falls, ID 83301-6749 2007-03-09
1740494897 American Hearing Care Regional Hearing and Balance Center Corp Audiologist 3345 Merlin Dr Ste 200, Idaho Falls, ID 83404-7405 2007-05-09

Competitor

Search similar providers

City COEUR D ALENE
Zip Code 83814

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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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