Kootenai Outpatient Surgery Cntr Llc
Ambulatory Surgical
707 W Ironwood Dr, Coeur D Alene
Idaho, 83814-2772
208-625-6400 208-625-6401
Kootenai Outpatient Surgery Cntr Llc is a Ambulatory Surgical in Coeur D Alene, Idaho. It is located at 707 W Ironwood Dr, Coeur D Alene and it's customer support contact number is 208-625-6400. The authorized person of Kootenai Outpatient Surgery Cntr Llc is Shirley M Torwirt, CASC who is Director of this DME and his contact number is 208-625-6428. Active license number of Kootenai Outpatient Surgery Cntr Llc is 307824 for Ambulatory Surgical in Idaho. Kootenai Outpatient Surgery Cntr Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kootenai Outpatient Surgery Cntr Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Kootenai Outpatient Surgery Cntr Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Kootenai Outpatient Surgery Cntr Llc |
| Type: | Ambulatory Surgical |
| Location: | 707 W Ironwood Dr, Coeur D Alene,
Idaho, 83814-2772 |
| Phone: | 208-625-6400 |
| Fax: | 208-625-6401 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Shirley M Torwirt |
| Credentials: | CASC |
| Position: | Director |
| Contact Number: | 208-625-6428 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1740289024 |
| NPI Enumeration Date: | 19 Jul, 2005 |
| NPI Last Update On: | 13 Apr, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kootenai Outpatient Surgery Cntr Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Ambulatory Surgical | 307824 | Idaho | Primary | |
| Durable Medical Equipment & Medical Supplies | 307824 | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000010029201 | Other | Idaho | Regence Bs |
| 805910000 | Medicaid | Idaho | |
| 04069 | Other | Idaho | Bcbs |
Medicare Enrollment:
Kootenai Outpatient Surgery Cntr Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7214090927 | O20090107000127 | Kootenai Outpatient Surgery Cntr Llc | PART B SUPPLIER - AMBULATORY SURGICAL CENTER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 707 W Ironwood Dr,
Coeur D Alene, Idaho |
| Zip: | 83814-2772 |
| Phone Number: | 208-625-6400 |
| Fax Number: | 208-625-6401 |
Patients can reach Kootenai Outpatient Surgery Cntr Llc at
707 W Ironwood Dr, Coeur D Alene, Idaho or can
call on customer care at 208-625-6400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.