KOOTENAI MEDICAL CENTER GROUP
NPI 1235288655
Emergency Medicine in Coeur D Alene, ID

NPI Status: Active since January 09, 2007

Contact Information

2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 625-4000

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  • Organization
  • Emergency Medicine
  • Accepts Insurance

About KOOTENAI MEDICAL CENTER GROUP

This page provides the complete NPI Profile along with additional information for Kootenai Medical Center Group, a provider established in Coeur D Alene, Idaho operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1235288655 assigned on January 2007. The practitioner's primary taxonomy code is 207P00000X with license number 42 (ID). The provider is registered as an organization and their NPI record was last updated 2 years ago. Kootenai Medical Center Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Kootenai Medical Center Group. The authorized official of this NPI record is Jon Ness (Ceo)

NPI
1235288655
Provider Legal Name
KOOTENAI HEALTH, INC.
Other Organization Name
KOOTENAI MEDICAL CENTER GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2003 KOOTENAI HEALTH WAY COEUR D ALENE, ID 83814
Location Phone
(208) 625-4000
Mailing Address
2003 KOOTENAI HEALTH WAY COEUR D ALENE, ID 83814
Mailing Phone
(208) 625-4000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2007
Last Update Date
01-05-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
42
License State
ID
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
2207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
3207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

42 (ID)
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
5208600000XAllopathic & Osteopathic Physicians

Surgery

42 (ID)
6208800000XAllopathic & Osteopathic Physicians

Urology

42 (ID)
7213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

42 (ID)
8363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

42 (ID)
9363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

42 (ID)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON NESS

Authorized Official Title
CEO
Authorized Official Phone
(208) 625-5081

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
83758OTHER (01)IDBLUE CROSS
000010004926OTHER (01)IDREGENCE BLUE SHIELD
805712000MEDICAID (05)ID 
CG7380OTHER (01)IDRR MEDICARE

Reviews for KOOTENAI MEDICAL CENTER GROUP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235288655, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 4 + 8 + 1 + 6 + 6 + 1 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1235288655.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEURD' ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Pharmacist (Pharmacotherapy)
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Internal Medicine
2003 KOOTENAI HEALTH WAY, HOSPITAL SPECIALISTS-KMC KOOTENAI MEDICAL CTR
COEUR D ALENE, ID 83814
Social Worker
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Social Worker (Clinical)
2003 KOOTENAI HEALTH WAY, STE 310
COEUR D ALENE, ID 83814
Speech-Language Pathologist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Pharmacist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Counselor (Mental Health)
2003 KOOTENAI HEALTH WAY, ATTN: SOCIAL SERVICES
COEUR D ALENE, ID 83814
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Social Worker
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235288655, enumerated as an "organization" on January 09, 2007.

The provider is located at 2003 KOOTENAI HEALTH WAY COEUR D ALENE, ID 83814 and the phone number is (208) 625-4000.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.