Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kootenai Health, Inc

Organization Emergency Medicine Physician · NPI 1235288655

Kootenai Health, Inc is an Emergency Medicine Physician in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 42 (ID)
Neurological Surgery Physician Taxonomy 207T00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X · Licence 42 (ID)
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X · Licence 42 (ID)
Urology Physician Taxonomy 208800000X · Licence 42 (ID)
Podiatrist Taxonomy 213E00000X · Licence 42 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 42 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 42 (ID)

Record details

NPI number1235288655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Ness — Ceo · (208) 625-5081
Other names Kootenai Medical Center Group; Kootenai Medical Center Group
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

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