Organization · Type 2 NPI

Kootenai Tribe of Idaho

Clinic/Center · Bonners Ferry, ID

NPI number 1669594057 Active

Practice location

100 Circle Drive
Bonners Ferry, ID 83805-1279

Fax (208) 267-8419

Mailing address

PO Box T
Bonners Ferry, ID 83805-1279

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

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About NPI 1669594057

Kootenai Tribe of Idaho's National Provider Identifier is 1669594057, issued on Apr 4, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bonners Ferry, ID. The record was last updated on Oct 21, 2010.