KOOTENAI TRIBAL HEALTH CLINIC
NPI 1669594057
Clinic/Center in Bonners Ferry, ID
About Kootenai Tribal Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOOTENAI TRIBAL HEALTH CLINIC (NPI 1669594057) is a healthcare organization registered as a clinic/center in Bonners Ferry, Idaho and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through June 21, 2027 and lists Karen K Hanson, Health Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kootenai Tribal Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Kootenai Tribal Health Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 13D0885727
Kootenai Tribal Health Clinic · Bonners Ferry, IDFrequently 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 Tribe Of Idaho's NPI number?
The NPI number for Kootenai Tribe Of Idaho is 1669594057. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is also known as Kootenai Tribal Health Clinic.
Where is Kootenai Tribe Of Idaho located?
Kootenai Tribe Of Idaho is located at 100 Circle Drive, Bonners Ferry, ID 83805. The listed phone number is (208) 267-5223.
What is Kootenai Tribe Of Idaho's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Kootenai Tribe Of Idaho enrolled in Medicare?
Yes. Kootenai Tribe Of Idaho is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kootenai Tribe Of Idaho?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kootenai Tribe Of Idaho, in Chiropractic, Family Practice, Nurse Practitioner and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kootenai Tribe Of Idaho hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0885727) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kootenai Tribe Of Idaho was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kootenai Tribal Health Clinic · NPI 1669594057
Clinic/Center organization in Bonners Ferry, Idaho. Organization record, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1669594057 (Entity type: Organization)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Kootenai Tribe Of Idaho
- **Organization subpart:** No
- **Authorized official:** Karen Hanson, HEALTH CLINIC DIRECTOR
## Practice location
- **Address:** 100 CIRCLE DRIVE, Bonners Ferry, ID 83805-1279
- **Phone:** (208) 267-5223 · **Fax:** (208) 267-8419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Family Practice (1), Nurse Practitioner (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 1122316 (ID); Other DC786 (ID); Medicare UPIN E07077 (ID); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669594057) · Data from the CMS NPPES public registry.