KOOTENAL HEALTH


Address: 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656
Phone: 2086255670

KOOTENAL HEALTH (NPI# 1073835591) 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) 1073835591
Entity Type Organization
Organization Name KOOTENAL HEALTH
Other Organization Name KOOTENAI CLINICS CANCER SERVICES PHARMACY
Practice Address 700 W Ironwood Dr
Coeur D Alene
ID 83814-2656
Mailing Address 700 W Ironwood Dr
Ste 228
Coeur D Alene
ID 83814-2656
Practice Telephone 2086255670
Practice Fax Number 2086255669
Mailing Telephone 2086255670
Mailing Fax Number 2086255669
Enumeration Date 2010-02-25
Last Update Date 2016-01-11
Authorized Official Name KELLEY GRIFFITH (DIRECTOR OF PHARMACY)
Authorized Official Telephone 2086255626
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
1198LS ID Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ID 1073835591 05
PK 2124398 01

Other Provider/Organization Names

Other Name Type Code
Kootenai Clinics Cancer Services Pharmacy Doing Business As Name - Organization

Office Location

Street Address 700 W IRONWOOD DR
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
Find all providers in the same location

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
Find all providers in zip 83814

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164035689 Allergy Butler, LLC Pharmacy 1611 12th Ave Rd Ste A, Nampa, ID 83686-6182 2020-08-25
1922312842 Teton Valley Hospital Pharmacy Pharmacy 120 East Howard Ave., Driggs, ID 83422-5112 2010-08-03
1730351081 Idaho State University Pharmacy 990 South 8th, Pocatello, ID 83209 2008-03-27
1740717693 Snake River Pharmacy Pharmacy 4750 Yellowstone Ave, Chubbuck, ID 83202-2336 2017-05-22
1184163511 Bear Lake Community Health Center Pharmacy - 340b Pharmacy 152 S 4th St, Montpelier, ID 83254-1538 2017-02-17
1942615828 Family Health Services Pharmacy Pharmacy 388 Martin Street, Family Health Services Pharmacy, Twin Falls, ID 83301-6856 2014-06-30
1669616272 Community Health Clinics, Inc. Pharmacy 300 S 23rd St, Boise, ID 83702-9100 2009-04-27
1316156482 Community Health Clinics, Inc. Pharmacy 802 Cleveland Blvd, Caldwell, ID 83605 2007-05-22
1770687188 Community Health Clinics, Inc Pharmacy 223 16th Ave N, Nampa, ID 83687-4058 2006-09-08

Competitor

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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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