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Kootenai Tribe Of Idaho
Clinic/Center in Bonners Ferry, Idaho
NPI 1669594057

Kootenai Tribe Of Idaho is a Clinic/Center based in Bonners Ferry, ID. Kootenai Tribe Of Idaho practices in Bonners Ferry, ID. The NPI Number for Kootenai Tribe Of Idaho is 1669594057 and holds a License No. (Idaho).

The current practice location address for Kootenai Tribe Of Idaho is 100 Circle Drive, Bonners Ferry, ID and can be reached out via phone at 208-267-5223 and via fax at 208-267-8419.

Location: 100 Circle Drive, Bonners Ferry, ID, 83805-1279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669594057
Provider Name
Kootenai Tribe Of Idaho
Credential
Provider Entity Type
Organization
Address
100 Circle Drive, Bonners Ferry, ID, 83805-1279
Phone Number
208-267-5223
Fax Number
208-267-8419
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G007100 05 ID
DC786 01 ID BLUE CROSS
DC786 01 ID HMO
institution
Provider Business Practice Location Address Details
Address
100 Circle Drive
City
Bonners Ferry
State
Idaho
Zip
83805-1279
Phone Number
208-267-5223
Fax Number
208-267-8419
person
Provider Business Mailing Address Details
Address
100 Circle Drive
City
Bonners Ferry
State
Idaho
Zip
83805-1279
Phone Number
208-267-5223
Fax Number
208-267-8419
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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