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

Hanson Mouanoutoua

Individual provider Hospitalist Physician · NPI 1417489345

Hanson Mouanoutoua is a Hospitalist in Coeur D Alene, Idaho. Qualified in 2019, 7 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2017
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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-6900
Fax: (208) 625-6910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15205 140th Way Se, Renton, WA 98058-7846 — (559) 314-5978

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence O-1696 (ID)

Record details

NPI number1417489345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coeur D Alene