Kootenai Outpatient Surgery
LBN: Kootenai Outpatient Surgery Cntr Llc
Kootenai Outpatient Surgery is an health care organization with primary practice located at 707 W Ironwood Dr , Coeur D Alene ID 83814-2772. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Kootenai Outpatient Surgery Cntr Llc can be contacted via phone (208) 625-6400, or through Torwirt, Shirley M via phone (208) 625-6428.
Contact Information
Primary practice address
707 W Ironwood Dr
Coeur D Alene ID 83814-2772
Phone: (208) 625-6400
Fax: (208) 625-6401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 307824 | Idaho |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 307824 | Idaho |
Profile Details
| NPI number | 1740289024 |
|---|---|
| LBN Legal business name | Kootenai Outpatient Surgery Cntr Llc |
| DBA Doing business as | Kootenai Outpatient Surgery |
| Authorized official | Torwirt, Shirley M CASC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 13th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740289024 | NPPES |
| Idaho | Other | 000010029201 | REGENCE BS |
| Idaho | MEDICAID | 805910000 | REGENCE BS |
| Idaho | Other | 04069 | REGENCE BS |
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