1. Home
  2. Directory
  3. Idaho
  4. Bonners Ferry
  5. Clinic Center
  6. NPI Profile

KOOTENAI TRIBAL HEALTH CLINIC
NPI 1669594057
Clinic/Center in Bonners Ferry, ID

Active since April 04, 2007CLIA 13D0885727 · Microscopy
100 CIRCLE DRIVE, BONNERS FERRY, ID 83805(208) 267-5223(208) 267-8419 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1669594057
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKOOTENAI TRIBE OF IDAHO
Location Address100 CIRCLE DRIVEBonners Ferry, ID 83805-1279
Mailing AddressPo Box TBonners Ferry, ID 83805-1279 · (208) 267-5223 · Fax (208) 267-8419
Phone(208) 267-5223
Fax(208) 267-8419
Organization SubpartNo
Authorized OfficialKaren K HansonHealth Clinic Director · (208) 267-5223
Enumeration DateApril 4, 2007
Last NPPES UpdateOctober 21, 2010
✔ NPI 1669594057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 CIRCLE DRIVE, Bonners Ferry, ID 83805
Open in Google Maps ↗

Other Names 1

Other NameKootenai Tribal Health Clinic

Other Identifiers 5

Medicare ID-Type Unspecified1122316ID
OtherDC786ID · Hmo
Medicare UPINE07077ID
OtherDC786ID · Blue Cross
MedicaidG007100ID

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, ID
Active · expires Jun 21, 2027
CLIA Number13D0885727
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorLigeia Reinhardt
Laboratory Phone(208) 267-5223
Laboratory LocationKootenai Tribal Health Clinic1227 Mission Rd, Bonners Ferry, ID 83805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.

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 with the weekly NPPES data releases published by CMS.