Kootenai Health, Inc.
Clinic Pharmacy
700 W Ironwood Dr, Coeur D Alene
Idaho, 83814-2656
208-625-5670 208-625-5669
Kootenai Health, Inc. is a Clinic Pharmacy in Coeur D Alene, Idaho. It is located at 700 W Ironwood Dr, Coeur D Alene and it's customer support contact number is 208-625-5670. The authorized person of Kootenai Health, Inc. is Jon Ness who is Ceo of the pharmacy and his contact number is 208-625-5081. Active license number of Kootenai Health, Inc. is 1198LS for Clinic Pharmacy in Idaho.
Kootenai Health, Inc. is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Kootenai Health, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kootenai Health, Inc. |
| Type: | Clinic Pharmacy |
| Location: | 700 W Ironwood Dr, Coeur D Alene,
Idaho, 83814-2656 |
| Phone: | 208-625-5670 |
| Fax: | 208-625-5669 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jon Ness |
| Position: | Ceo |
| Contact Number: | 208-625-5081 |
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 pharmacy are as mentioned below.
| NPI Number: | 1073835591 |
| NPI Enumeration Date: | 25 Feb, 2010 |
| NPI Last Update On: | 05 Jan, 2024 |
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 Health, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 1198LS | Idaho | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1073835591 | Medicaid | Idaho | |
| 2124398 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 700 W Ironwood Dr, Ste 228
Coeur D Alene, Idaho |
| Zip: | 83814-2656 |
| Phone Number: | 208-625-5670 |
| Fax Number: | 208-625-5669 |
Patients can reach Kootenai Health, Inc. at
700 W Ironwood Dr, Coeur D Alene, Idaho or can
call on customer care at 208-625-5670.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.