P Praxis·MD
● Active Type 2 · Organization

Kootenai Tribe Of Idaho

Clinic/Center·Bonners Ferry, ID· NPI 1669594057 · Enumerated 2007 · 19 years on NPI
Kootenai Tribe Of Idaho is 1 of 145 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-04-04
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hanson
Health Clinic Director
Last NPPES update
2010-10-21
Source: monthly bulk 2026-05

How this organization compares

Across 145 active clinic/center providers in Idaho.

NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
100 Circle Drive
Bonners Ferry, ID 838051279
📞 2082675223fax 2082678419
Mailing address
Po Box T
Bonners Ferry, ID 838051279
📞 2082675223fax 2082678419

Authorized official

Karen K Hanson
Health Clinic Director
📞 2082675223

Specialties

  • Clinic/Center Primary
    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...
    taxonomy 261Q00000X

Identifiers

TypeValueNotes
05 (ID) G007100
01 (ID) DC786 BLUE CROSS
01 (ID) DC786 HMO

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Kootenai Tribal Health Clinic
    Type code 5 recorded 2010-09-13

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 145 Clinic/Center providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related