Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kootenai Health, Inc

Organization Psychiatry Physician · NPI 1174661151

Kootenai Health, Inc provides Psychiatry Physician services 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
2
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

Psychiatry Physician (primary) Taxonomy 2084P0800X
General Acute Care Hospital Taxonomy 282N00000X · Licence 42 (ID)

Record details

NPI number1174661151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Ness — Ceo · (208) 625-5081
Other names Kootenai Physicians Clinic; Kootenai Physicians Clinic
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJanuary 5, 2024
Certification dateNovember 3, 2023
Mailing address2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

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