KOOTENAI CLINICS CANCER SERVICES PHARMACY
NPI 1073835591
Pharmacy - Clinic Pharmacy in Coeur D Alene, ID

Q: What is Kootenai Health, Inc.'s NPI number?

The NPI number for Kootenai Health, Inc. is 1073835591. It was assigned to this organization in the NPPES registry on February 25, 2010. The provider is doing business as Kootenai Clinics Cancer Services Pharmacy.

Q: What is Kootenai Health, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since February 25, 2010CLIA 13D0522151 · Accreditation

700 W IRONWOOD DR, COEUR D ALENE, ID 83814(208) 625-5670(208) 625-5669 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Jan 11, 2016 (2 updates tracked since 2016).

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About Kootenai Clinics Cancer Services Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOOTENAI CLINICS CANCER SERVICES PHARMACY (NPI 1073835591) is a healthcare organization registered as a clinic pharmacy in Coeur D Alene, Idaho and active in the NPI registry since February 2010. The organization holds an CLIA Accreditation certificate valid through March 14, 2027 and lists Jon Ness, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073835591

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameKOOTENAI HEALTH, INC.

Location Address700 W IRONWOOD DRCoeur D Alene, ID 83814-2656

Mailing Address700 W Ironwood Dr, Ste 228Coeur D Alene, ID 83814-2656 · (208) 625-5670 · Fax (208) 625-5669

Phone(208) 625-5670

Fax(208) 625-5669

Organization SubpartNo

Authorized OfficialJon NessCeo · (208) 625-5081

Enumeration DateFebruary 25, 2010

Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2024

✔ NPI 1073835591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in ID · 1198LS

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

700 W IRONWOOD DR, Coeur D Alene, ID 83814

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Other Names 1

Doing Business AsKootenai Clinics Cancer Services Pharmacy

Other Identifiers 2

Medicaid1073835591ID

Other2124398Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 13D0522151

Kootenai Health Main Laboratory · Coeur D'alene, ID

Active · expires Mar 14, 2027

CLIA Number13D0522151

Laboratory TypeHospital

Certificate Effective DateMarch 15, 2025

Certificate Expiration DateMarch 14, 2027

Laboratory DirectorDr. Allison M. Young

Laboratory Phone(208) 625-5858

Laboratory LocationKootenai Health Main Laboratory2003 Kootenai Health Way, Coeur D'alene, ID 83814

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS R RAU MD

Pediatrics

700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814

Kootenai County (208) 667-0585

DR. ROBERT C. FARR M.D.

Otolaryngology

700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814

Kootenai County (208) 765-1345

JAMIE LEE PARK PHARM.D.

Pharmacist

700 W IRONWOOD DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-5688

MANDI NORDHAGEN

Pharmacist (Ambulatory Care)

700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814

Kootenai County (208) 625-5670

TERENCE EARL NEFF MD

Pediatrics

700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814

Kootenai County (208) 667-0585

KOOTENAI AUDIOLOGY, LLC

Audiologist (Assistive Technology Supplier)

700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814

Kootenai County (208) 765-1345

SPOKANE RADIATION ONCOLOGY ASSOCIATES P S

Radiology (Radiation Oncology)

700 W IRONWOOD DR
COEUR D ALENE, ID 83814

Kootenai County (208) 666-3800

CREST HOME HEALTH AND HOSPICE, LLC

Hospice Care, Community Based

700 W IRONWOOD DR, STE 255
COEUR D ALENE, ID 83814

Kootenai County (208) 765-4343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kootenai Health, Inc.'s NPI number?

The NPI number for Kootenai Health, Inc. is 1073835591. It was assigned to this organization in the NPPES registry on February 25, 2010. The provider is doing business as Kootenai Clinics Cancer Services Pharmacy.

Where is Kootenai Health, Inc. located?

Kootenai Health, Inc. is located at 700 W Ironwood Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5670.

What is Kootenai Health, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Kootenai Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 13D0522151) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kootenai Health, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Kootenai Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kootenai Health, Inc. was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.