Kootenai Mri
LBN: North Idaho Mri
Kootenai Mri is an health care organization with primary practice located at 825 W Ironwood Dr , Coeur D Alene ID 83814-2673. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty.
North Idaho Mri can be contacted via phone (208) 666-3119, or through Legel, Thomas J via phone (208) 666-2000.
Contact Information
Primary practice address
825 W Ironwood Dr
Coeur D Alene ID 83814-2673
Phone: (208) 666-3119
Fax: (208) 666-3963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X |
Profile Details
| NPI number | 1265425029 |
|---|---|
| LBN Legal business name | North Idaho Mri |
| DBA Doing business as | Kootenai Mri |
| Authorized official | Legel, Thomas J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Dec 28th, 2009 - about 17 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 | 1265425029 | NPPES |
| Idaho | Other | 000010138805 | IDAHO MEDICAID |
| Idaho | Other | 84095 | IDAHO MEDICAID |
| Idaho | MEDICAID | 002642800 | IDAHO MEDICAID |
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